Childcare Network #77

10A NCAC 09 .0601 · Violation

Name of Operation: Childcare Network #77 Facility ID: 25000630 Consultant: BRITTANY JONES Operation Type: Center Case Number: Visit Date: 4/30/2026 Number Present: 38 Completed Date: 4/30/2026 Age: From 0 To 5 Total Minutes: 357 Time In: 08:48 AM Time Out: 02:45 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 annual compliance visit, including compliance with requirements located in Child Care Rule Section .3000 in space #7, where children participating in the NC Pre-K program are cared for. E. Williams, Assistant Director, assisted me with the visit. Your program currently operates with a five-star license, issued 7/29/24, earning 6 points in the education component, 6 points in the program standards component and 1 quality point for having staff benefits package and infrastructure of parental involvement. The last annual compliance visit was conducted 5/19/25. The sanitation inspection was completed 11/3/25 with a “Superior” classification. The last fire inspection was conducted on 4/28/26. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty eight percent as of 4/23/26. The NC Secretary of State website was reviewed on 4/23/26 and Child Development Schools North Carolina, LLC was listed as current- active. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website and all information is current. Contact me if you need to make any changes to your contact information, e.g., phone numbers, mailing address. You visited each indoor and outdoor space with me. Children throughout the center were engaged in free play in activity centers, personal care routines, and transitions. Upon arrival, young toddlers were finishing a breakfast that consisted of scrambled eggs, applesauce, and milk. Infants were being cared for according to personal care routines including being bottle fed. Toddlers were playing on the carpet with toys. Preschoolers were observed in the outdoor space playing Ring Around the Rosie. Children in the NC Pre-K program were creating watercolor collages. The outdoor spaces were observed to have stationary clumbers, tunnels, riding toys, and balls for the children to engage in gross motor activities. The NC Pre-K requirements in section .3000 of the child care rules were monitored for compliance. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. A selection of files was monitored for health assessments and developmental screenings. You stated that Dial 4 screenings have been completed. The center uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress and final conferences are scheduled. Lunch was observed and consisted of breaded chicken sandwiches, sweet peas, sweet potatoes, and milk. The following violations were documented. Violation Number Comment Rule 508 Special diet or food allergy information was not posted where they can be seen in food preparation and eating areas. The posted food allergy list was not updated to reflect that a child enrolled has a food allergy to peanuts. .0901(g) 807 A safe indoor and outdoor environment was not provided for the children. On the preschool outdoor space, there were broken wooden boards, a ripped seat cushion with exposed foam, and a loose cement square causing a tripping hazard. 10A NCAC 09 .0601(a) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. A child enrolled space #2 had a tube of Triamcinolone Acetonide Ointment USP 0.1% on file in the original container without the pharmacy label. .0803(2)(a) 847 Parent's medication authorization did not include required information. The written permission for the Triamcinolone Acetonide Ointment USP 0.1% was documented on a form for over-the-counter topical ointments. 10A NCAC 09 .0803(4)(6-9) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. A staff member hired on 10/21/25 had certification of First Aid dated 2/20/26. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. A staff member hired on 10/21/25 had certification of CPR dated 2/20/26. .1102(d) 1123 All vehicles used to transport children were not free of hazards. The tire tread of the front two (2) tires on bus #4 was less than 2/32 of an inch. Seats on bus #2, bus #3, and bus #4 were observed to have tears and exposed foam. 10A NCAC 09 .1002(a) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. In space #1, a can of Diet Pepsi was located on a shelf and in the outdoor space a can of Bloom Crisp Apple energy drink was located on a table. .0901(i) 9995 A violation was found for which there is no item number. A staff member's purse was located on shelf in space #3 above children's cubbies that was below five (5) feet from the floor. This is a violation of a requirement in 15A NCAC 18A .2820(g). Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 5/14/26, 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 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: Brittany Jones, Child Care Consultant PO Box 3272 New Bern, NC 28564 Brittany.j.jones@dhhs.nc.gov 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 with Documented Violations: Medication: Medicines can be crucial to the health and wellness of children. They can also be very dangerous if the wrong type or wrong amount is given to the wrong person or at the wrong time. All medications must be accompanied by written authorizations from parents with complete instructions for administration. Prescription medications must also be in the original container with the pharmacy label attached. A child enrolled space #2 had a tube of Triamcinolone Acetonide Ointment USP 0.1% on file in the original container without the pharmacy label. The written permission for the Triamcinolone Acetonide Ointment USP 0.1% was documented on a form for over-the-counter topical ointments. We discussed that prescription medication must have the pharmacy label and should be documented on the long form for prescription medication. You stated that you did not think the medication was prescription because it did not have a prescription label. We discussed that the medication box states Rx only so it is important to review the medication box when accepting from a parent. During the visit, I emailed you a medication flyer that will be helpful when accepting medication to see which form needs to be used and how long it will be valid for. It would be helpful to establish a person that oversees the medication forms and checks them each month to ensure that they are correct and up to date. The posted food allergy list was not updated to reflect that a child enrolled has a food allergy to peanuts. You stated that parent just brought the medication in last week and did not have a chance to update the allergy list. Update the allergy list anytime there is a change in food allergies in the facility. CPR/First Aid: Knowing what to do in an emergency medical situation can mean the difference between life or death. Being trained in CPR and first aid can be invaluable when someone is in serious medical distress. Therefore, it is so important that all staff working directly with children have current CPR and First Aid Certification. A staff member hired on 10/21/25 had certification of CPR and First Aid dated 2/20/26. The staff member was unable to locate her previous CPR/First Aid Certificate. You stated that you have a digital calendar that has reminders for when trainings are due but due to technology issues, the certification was later than 90 days from hire. Ensure that you schedule trainings well in advance so that new staff members have time to complete them before 90 days pass. Transportation: Motor vehicle crashes are the leading cause of death in children two to fourteen years of age in the United States. Tire tread, the ribbed pattern on a tire that makes contact with the road, is important for a vehicle's safety, performance, and efficiency. Tread provides friction, which helps with acceleration, braking, and turning. It also helps keep a vehicle connected to the road and provides traction, which is especially important in dangerous conditions like rain or snow. The tire tread of the front two (2) tires on bus #4 was less than 2/32 of an inch. I used a penny to check the depth of the tires, and the tread was flush with Lincoln’s head or below on the outside treads of the front tires. The tires on the other vehicles have ample tread available. Check tires regularly to ensure that the tire tread is above 2/23 of an inch. Seats on bus #2, bus #3, and bus #4 were observed to have tears and exposed foam. We discussed that there is some tape patching other seats on the buses that should be replaced when repairing the rips. Check the buses monthly to ensure all seats are in good repair. Safe Environment: The outdoor learning environment offers a sense of freedom for children. Children are able to play freely with peers, expand their imagination beyond restraints of indoor activities, release energy and explore their sense of touch, smell, taste and their sense of motion. It is important that the outdoor area is checked daily and proper upkeep is conducted to ensure the environment is safe for use. On the preschool outdoor space, there were broken wooden boards, a ripped seat cushion with exposed foam, and a loose cement square causing a tripping hazard. You stated that you were going to dispose of the wooden boards and maintenance has been contacted about the loose cement square. Check the outdoor spaces daily before the children arrive to ensure that hazards are removed. Nutrition: To be good role models for children, food and beverages must meet the nutritional requirements as outlined in the Meal Pattern for Children in Child Care Programs when they are in the presence of children. In space #1, a can of Diet Pepsi was located on a shelf and in the outdoor space a can of Bloom Crisp Apple energy drink was located on a table. We discussed that staff members should only have beverages in the classroom that children can drink as caregivers are their role models. When this was brought to the attention of the caregivers, and the cans were disposed of. Discuss this with all staff during the next staff meeting and check classrooms daily to ensure that good nutrition is being modeled. Resources: As a licensed child care facility, it is your responsibility to be knowledgeable of the child care laws and rules and to teach your staff the rules to ensure your center remains in compliance. The following resources are available to you: 1. DCDEE website, www.ncchildcare.ncdhhs.gov – current laws and rules regarding child care facilities in North Carolina, “What’s New” tab, Items Number Listing which you can use as a checklist for your program. 2. Raise NC Newsletter – weekly newsletter emailed to facility email including relevant information from the Division, training opportunities, grants, and more. You can sign up to receive Raise NC on the What’s New tab. 3. NC Health & Safety Resource Center publishes a quarterly newsletter which provides topical information on a variety of health and safety topics. If you are not receiving these emails and newsletters, then please go to https://healthychildcare.unc.edu/resources/nc-child-care-health-and-safety-e-news/ and click on ‘Newsletter Signup’ to join their mailing list. The North Carolina Rated License Assessment Project (NCRLAP), www.ncrlap.org , has resources to help you and your staff prepare for the third editions of the Environment Rating Scales (ECERS-3 and ITERS-3). Visit the website for more information about updated resources, credit hour trainings, self-assessments and outreach assessment opportunities to help you become familiar with these tools. At this time the SACERS-U will continue to be the program assessment tool for school-age programs and classrooms. Southwestern Child Development Commission, www.swcdcinc.org, Child Care Resources Inc., https://www.childcareresourcesinc.org/ and Early Years, https://www.earlyyearsnc.org/ offer DCDEE approved, on-line, self-paced and virtual real-time training and CEUs. SWCDC also offers affordable annual packages allowing you to take as many courses as you need or want for one price. The T.E.A.C.H. Early Childhood® North Carolina Scholarship Program provides educational scholarships to early care professionals and those who perform specialized functions in the early care system. https://www.childcareservices.org/programs/teach-north-carolina/ Additional Comments: Staff Education and Works: Assist staff with getting education posted in Works to count for your upcoming QRIS rated license reassessment. QRIS (Quality Rating Improvement System) Technical Assistance: All information on the QRIS rated license assessments and documents will be posted at https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRISModernization and will also be provided through emails and Raise NC newsletters. During the visit we completed the QRIS Conversation Template with a focus on the selected pathway. Your QRIS assessment is due by 12/31/2026. You have decided to follow Pathway #1: Program Assessment Pathway. We reviewed all forms for pathway #1 and accessed them at https://ncchildcare.ncdhhs.gov. North Carolina General Statute 14-208 requires sex offenders to register with the North Carolina Department of Justice. The law states that a sex offender shall not knowingly reside within 1,000 feet of the property on which any public or nonpublic school or child care center is located. This does not apply to child care centers that are located on or within 1,000 feet of property of an institution of higher education where the registrant is a student or is employed. All licensed child care centers must register to receive e-mail notification when a registered sex offender moves within a one-mile radius of the center. (§14-208.19) To register for the e-mail notification, go to http://sexoffender.ncsbi.gov. If you have any questions, please contact your local sheriff's department. NCID: Did you know that if you do not login on 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. Outdoor Learning Environments Work Plan: Bring nature to children by naturalizing childcare centers and family child care homes, schools, residential neighborhoods, parks and greenways, community centers, cultural facilities, botanical gardens, museums and other nonformal education institutions. Today, we discussed adding a science center with a sand area, thermometer, and rain gauge, music center with pots and pans, and soft furnishings with books and art materials under the teepees. Craven Smart Start is also able to provide you with resources and information, training opportunities, and technical assistance on childcare issues. Their phone number is (252) 636- 3198 or check out their website at www.cravensmartstart.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Brittany Jones, Child Care Consultant, (252) 947-1036, Brittany.j.jones@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, (252) 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. 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: Childcare Network #77 Facility ID: 25000630 Consultant: BRITTANY JONES Operation Type: Center Case Number: Visit Date: 4/30/2026 Number Present: 38 Completed Date: 4/30/2026 Age: From 0 To 5 Total Minutes: 357 Time In: 08:48 AM Time Out: 02:45 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 annual compliance visit, including compliance with requirements located in Child Care Rule Section .3000 in space #7, where children participating in the NC Pre-K program are cared for. E. Williams, Assistant Director, assisted me with the visit. Your program currently operates with a five-star license, issued 7/29/24, earning 6 points in the education component, 6 points in the program standards component and 1 quality point for having staff benefits package and infrastructure of parental involvement. The last annual compliance visit was conducted 5/19/25. The sanitation inspection was completed 11/3/25 with a “Superior” classification. The last fire inspection was conducted on 4/28/26. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty eight percent as of 4/23/26. The NC Secretary of State website was reviewed on 4/23/26 and Child Development Schools North Carolina, LLC was listed as current- active. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website and all information is current. Contact me if you need to make any changes to your contact information, e.g., phone numbers, mailing address. You visited each indoor and outdoor space with me. Children throughout the center were engaged in free play in activity centers, personal care routines, and transitions. Upon arrival, young toddlers were finishing a breakfast that consisted of scrambled eggs, applesauce, and milk. Infants were being cared for according to personal care routines including being bottle fed. Toddlers were playing on the carpet with toys. Preschoolers were observed in the outdoor space playing Ring Around the Rosie. Children in the NC Pre-K program were creating watercolor collages. The outdoor spaces were observed to have stationary clumbers, tunnels, riding toys, and balls for the children to engage in gross motor activities. The NC Pre-K requirements in section .3000 of the child care rules were monitored for compliance. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. A selection of files was monitored for health assessments and developmental screenings. You stated that Dial 4 screenings have been completed. The center uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress and final conferences are scheduled. Lunch was observed and consisted of breaded chicken sandwiches, sweet peas, sweet potatoes, and milk. The following violations were documented. Violation Number Comment Rule 508 Special diet or food allergy information was not posted where they can be seen in food preparation and eating areas. The posted food allergy list was not updated to reflect that a child enrolled has a food allergy to peanuts. .0901(g) 807 A safe indoor and outdoor environment was not provided for the children. On the preschool outdoor space, there were broken wooden boards, a ripped seat cushion with exposed foam, and a loose cement square causing a tripping hazard. 10A NCAC 09 .0601(a) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. A child enrolled space #2 had a tube of Triamcinolone Acetonide Ointment USP 0.1% on file in the original container without the pharmacy label. .0803(2)(a) 847 Parent's medication authorization did not include required information. The written permission for the Triamcinolone Acetonide Ointment USP 0.1% was documented on a form for over-the-counter topical ointments. 10A NCAC 09 .0803(4)(6-9) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. A staff member hired on 10/21/25 had certification of First Aid dated 2/20/26. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. A staff member hired on 10/21/25 had certification of CPR dated 2/20/26. .1102(d) 1123 All vehicles used to transport children were not free of hazards. The tire tread of the front two (2) tires on bus #4 was less than 2/32 of an inch. Seats on bus #2, bus #3, and bus #4 were observed to have tears and exposed foam. 10A NCAC 09 .1002(a) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. In space #1, a can of Diet Pepsi was located on a shelf and in the outdoor space a can of Bloom Crisp Apple energy drink was located on a table. .0901(i) 9995 A violation was found for which there is no item number. A staff member's purse was located on shelf in space #3 above children's cubbies that was below five (5) feet from the floor. This is a violation of a requirement in 15A NCAC 18A .2820(g). Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 5/14/26, 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 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: Brittany Jones, Child Care Consultant PO Box 3272 New Bern, NC 28564 Brittany.j.jones@dhhs.nc.gov 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 with Documented Violations: Medication: Medicines can be crucial to the health and wellness of children. They can also be very dangerous if the wrong type or wrong amount is given to the wrong person or at the wrong time. All medications must be accompanied by written authorizations from parents with complete instructions for administration. Prescription medications must also be in the original container with the pharmacy label attached. A child enrolled space #2 had a tube of Triamcinolone Acetonide Ointment USP 0.1% on file in the original container without the pharmacy label. The written permission for the Triamcinolone Acetonide Ointment USP 0.1% was documented on a form for over-the-counter topical ointments. We discussed that prescription medication must have the pharmacy label and should be documented on the long form for prescription medication. You stated that you did not think the medication was prescription because it did not have a prescription label. We discussed that the medication box states Rx only so it is important to review the medication box when accepting from a parent. During the visit, I emailed you a medication flyer that will be helpful when accepting medication to see which form needs to be used and how long it will be valid for. It would be helpful to establish a person that oversees the medication forms and checks them each month to ensure that they are correct and up to date. The posted food allergy list was not updated to reflect that a child enrolled has a food allergy to peanuts. You stated that parent just brought the medication in last week and did not have a chance to update the allergy list. Update the allergy list anytime there is a change in food allergies in the facility. CPR/First Aid: Knowing what to do in an emergency medical situation can mean the difference between life or death. Being trained in CPR and first aid can be invaluable when someone is in serious medical distress. Therefore, it is so important that all staff working directly with children have current CPR and First Aid Certification. A staff member hired on 10/21/25 had certification of CPR and First Aid dated 2/20/26. The staff member was unable to locate her previous CPR/First Aid Certificate. You stated that you have a digital calendar that has reminders for when trainings are due but due to technology issues, the certification was later than 90 days from hire. Ensure that you schedule trainings well in advance so that new staff members have time to complete them before 90 days pass. Transportation: Motor vehicle crashes are the leading cause of death in children two to fourteen years of age in the United States. Tire tread, the ribbed pattern on a tire that makes contact with the road, is important for a vehicle's safety, performance, and efficiency. Tread provides friction, which helps with acceleration, braking, and turning. It also helps keep a vehicle connected to the road and provides traction, which is especially important in dangerous conditions like rain or snow. The tire tread of the front two (2) tires on bus #4 was less than 2/32 of an inch. I used a penny to check the depth of the tires, and the tread was flush with Lincoln’s head or below on the outside treads of the front tires. The tires on the other vehicles have ample tread available. Check tires regularly to ensure that the tire tread is above 2/23 of an inch. Seats on bus #2, bus #3, and bus #4 were observed to have tears and exposed foam. We discussed that there is some tape patching other seats on the buses that should be replaced when repairing the rips. Check the buses monthly to ensure all seats are in good repair. Safe Environment: The outdoor learning environment offers a sense of freedom for children. Children are able to play freely with peers, expand their imagination beyond restraints of indoor activities, release energy and explore their sense of touch, smell, taste and their sense of motion. It is important that the outdoor area is checked daily and proper upkeep is conducted to ensure the environment is safe for use. On the preschool outdoor space, there were broken wooden boards, a ripped seat cushion with exposed foam, and a loose cement square causing a tripping hazard. You stated that you were going to dispose of the wooden boards and maintenance has been contacted about the loose cement square. Check the outdoor spaces daily before the children arrive to ensure that hazards are removed. Nutrition: To be good role models for children, food and beverages must meet the nutritional requirements as outlined in the Meal Pattern for Children in Child Care Programs when they are in the presence of children. In space #1, a can of Diet Pepsi was located on a shelf and in the outdoor space a can of Bloom Crisp Apple energy drink was located on a table. We discussed that staff members should only have beverages in the classroom that children can drink as caregivers are their role models. When this was brought to the attention of the caregivers, and the cans were disposed of. Discuss this with all staff during the next staff meeting and check classrooms daily to ensure that good nutrition is being modeled. Resources: As a licensed child care facility, it is your responsibility to be knowledgeable of the child care laws and rules and to teach your staff the rules to ensure your center remains in compliance. The following resources are available to you: 1. DCDEE website, www.ncchildcare.ncdhhs.gov – current laws and rules regarding child care facilities in North Carolina, “What’s New” tab, Items Number Listing which you can use as a checklist for your program. 2. Raise NC Newsletter – weekly newsletter emailed to facility email including relevant information from the Division, training opportunities, grants, and more. You can sign up to receive Raise NC on the What’s New tab. 3. NC Health & Safety Resource Center publishes a quarterly newsletter which provides topical information on a variety of health and safety topics. If you are not receiving these emails and newsletters, then please go to https://healthychildcare.unc.edu/resources/nc-child-care-health-and-safety-e-news/ and click on ‘Newsletter Signup’ to join their mailing list. The North Carolina Rated License Assessment Project (NCRLAP), www.ncrlap.org , has resources to help you and your staff prepare for the third editions of the Environment Rating Scales (ECERS-3 and ITERS-3). Visit the website for more information about updated resources, credit hour trainings, self-assessments and outreach assessment opportunities to help you become familiar with these tools. At this time the SACERS-U will continue to be the program assessment tool for school-age programs and classrooms. Southwestern Child Development Commission, www.swcdcinc.org, Child Care Resources Inc., https://www.childcareresourcesinc.org/ and Early Years, https://www.earlyyearsnc.org/ offer DCDEE approved, on-line, self-paced and virtual real-time training and CEUs. SWCDC also offers affordable annual packages allowing you to take as many courses as you need or want for one price. The T.E.A.C.H. Early Childhood® North Carolina Scholarship Program provides educational scholarships to early care professionals and those who perform specialized functions in the early care system. https://www.childcareservices.org/programs/teach-north-carolina/ Additional Comments: Staff Education and Works: Assist staff with getting education posted in Works to count for your upcoming QRIS rated license reassessment. QRIS (Quality Rating Improvement System) Technical Assistance: All information on the QRIS rated license assessments and documents will be posted at https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRISModernization and will also be provided through emails and Raise NC newsletters. During the visit we completed the QRIS Conversation Template with a focus on the selected pathway. Your QRIS assessment is due by 12/31/2026. You have decided to follow Pathway #1: Program Assessment Pathway. We reviewed all forms for pathway #1 and accessed them at https://ncchildcare.ncdhhs.gov. North Carolina General Statute 14-208 requires sex offenders to register with the North Carolina Department of Justice. The law states that a sex offender shall not knowingly reside within 1,000 feet of the property on which any public or nonpublic school or child care center is located. This does not apply to child care centers that are located on or within 1,000 feet of property of an institution of higher education where the registrant is a student or is employed. All licensed child care centers must register to receive e-mail notification when a registered sex offender moves within a one-mile radius of the center. (§14-208.19) To register for the e-mail notification, go to http://sexoffender.ncsbi.gov. If you have any questions, please contact your local sheriff's department. NCID: Did you know that if you do not login on 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. Outdoor Learning Environments Work Plan: Bring nature to children by naturalizing childcare centers and family child care homes, schools, residential neighborhoods, parks and greenways, community centers, cultural facilities, botanical gardens, museums and other nonformal education institutions. Today, we discussed adding a science center with a sand area, thermometer, and rain gauge, music center with pots and pans, and soft furnishings with books and art materials under the teepees. Craven Smart Start is also able to provide you with resources and information, training opportunities, and technical assistance on childcare issues. Their phone number is (252) 636- 3198 or check out their website at www.cravensmartstart.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Brittany Jones, Child Care Consultant, (252) 947-1036, Brittany.j.jones@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, (252) 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. 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 .1002 · Violation

Name of Operation: Childcare Network #77 Facility ID: 25000630 Consultant: BRITTANY JONES Operation Type: Center Case Number: Visit Date: 4/30/2026 Number Present: 38 Completed Date: 4/30/2026 Age: From 0 To 5 Total Minutes: 357 Time In: 08:48 AM Time Out: 02:45 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 annual compliance visit, including compliance with requirements located in Child Care Rule Section .3000 in space #7, where children participating in the NC Pre-K program are cared for. E. Williams, Assistant Director, assisted me with the visit. Your program currently operates with a five-star license, issued 7/29/24, earning 6 points in the education component, 6 points in the program standards component and 1 quality point for having staff benefits package and infrastructure of parental involvement. The last annual compliance visit was conducted 5/19/25. The sanitation inspection was completed 11/3/25 with a “Superior” classification. The last fire inspection was conducted on 4/28/26. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty eight percent as of 4/23/26. The NC Secretary of State website was reviewed on 4/23/26 and Child Development Schools North Carolina, LLC was listed as current- active. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website and all information is current. Contact me if you need to make any changes to your contact information, e.g., phone numbers, mailing address. You visited each indoor and outdoor space with me. Children throughout the center were engaged in free play in activity centers, personal care routines, and transitions. Upon arrival, young toddlers were finishing a breakfast that consisted of scrambled eggs, applesauce, and milk. Infants were being cared for according to personal care routines including being bottle fed. Toddlers were playing on the carpet with toys. Preschoolers were observed in the outdoor space playing Ring Around the Rosie. Children in the NC Pre-K program were creating watercolor collages. The outdoor spaces were observed to have stationary clumbers, tunnels, riding toys, and balls for the children to engage in gross motor activities. The NC Pre-K requirements in section .3000 of the child care rules were monitored for compliance. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. A selection of files was monitored for health assessments and developmental screenings. You stated that Dial 4 screenings have been completed. The center uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress and final conferences are scheduled. Lunch was observed and consisted of breaded chicken sandwiches, sweet peas, sweet potatoes, and milk. The following violations were documented. Violation Number Comment Rule 508 Special diet or food allergy information was not posted where they can be seen in food preparation and eating areas. The posted food allergy list was not updated to reflect that a child enrolled has a food allergy to peanuts. .0901(g) 807 A safe indoor and outdoor environment was not provided for the children. On the preschool outdoor space, there were broken wooden boards, a ripped seat cushion with exposed foam, and a loose cement square causing a tripping hazard. 10A NCAC 09 .0601(a) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. A child enrolled space #2 had a tube of Triamcinolone Acetonide Ointment USP 0.1% on file in the original container without the pharmacy label. .0803(2)(a) 847 Parent's medication authorization did not include required information. The written permission for the Triamcinolone Acetonide Ointment USP 0.1% was documented on a form for over-the-counter topical ointments. 10A NCAC 09 .0803(4)(6-9) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. A staff member hired on 10/21/25 had certification of First Aid dated 2/20/26. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. A staff member hired on 10/21/25 had certification of CPR dated 2/20/26. .1102(d) 1123 All vehicles used to transport children were not free of hazards. The tire tread of the front two (2) tires on bus #4 was less than 2/32 of an inch. Seats on bus #2, bus #3, and bus #4 were observed to have tears and exposed foam. 10A NCAC 09 .1002(a) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. In space #1, a can of Diet Pepsi was located on a shelf and in the outdoor space a can of Bloom Crisp Apple energy drink was located on a table. .0901(i) 9995 A violation was found for which there is no item number. A staff member's purse was located on shelf in space #3 above children's cubbies that was below five (5) feet from the floor. This is a violation of a requirement in 15A NCAC 18A .2820(g). Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 5/14/26, 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 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: Brittany Jones, Child Care Consultant PO Box 3272 New Bern, NC 28564 Brittany.j.jones@dhhs.nc.gov 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 with Documented Violations: Medication: Medicines can be crucial to the health and wellness of children. They can also be very dangerous if the wrong type or wrong amount is given to the wrong person or at the wrong time. All medications must be accompanied by written authorizations from parents with complete instructions for administration. Prescription medications must also be in the original container with the pharmacy label attached. A child enrolled space #2 had a tube of Triamcinolone Acetonide Ointment USP 0.1% on file in the original container without the pharmacy label. The written permission for the Triamcinolone Acetonide Ointment USP 0.1% was documented on a form for over-the-counter topical ointments. We discussed that prescription medication must have the pharmacy label and should be documented on the long form for prescription medication. You stated that you did not think the medication was prescription because it did not have a prescription label. We discussed that the medication box states Rx only so it is important to review the medication box when accepting from a parent. During the visit, I emailed you a medication flyer that will be helpful when accepting medication to see which form needs to be used and how long it will be valid for. It would be helpful to establish a person that oversees the medication forms and checks them each month to ensure that they are correct and up to date. The posted food allergy list was not updated to reflect that a child enrolled has a food allergy to peanuts. You stated that parent just brought the medication in last week and did not have a chance to update the allergy list. Update the allergy list anytime there is a change in food allergies in the facility. CPR/First Aid: Knowing what to do in an emergency medical situation can mean the difference between life or death. Being trained in CPR and first aid can be invaluable when someone is in serious medical distress. Therefore, it is so important that all staff working directly with children have current CPR and First Aid Certification. A staff member hired on 10/21/25 had certification of CPR and First Aid dated 2/20/26. The staff member was unable to locate her previous CPR/First Aid Certificate. You stated that you have a digital calendar that has reminders for when trainings are due but due to technology issues, the certification was later than 90 days from hire. Ensure that you schedule trainings well in advance so that new staff members have time to complete them before 90 days pass. Transportation: Motor vehicle crashes are the leading cause of death in children two to fourteen years of age in the United States. Tire tread, the ribbed pattern on a tire that makes contact with the road, is important for a vehicle's safety, performance, and efficiency. Tread provides friction, which helps with acceleration, braking, and turning. It also helps keep a vehicle connected to the road and provides traction, which is especially important in dangerous conditions like rain or snow. The tire tread of the front two (2) tires on bus #4 was less than 2/32 of an inch. I used a penny to check the depth of the tires, and the tread was flush with Lincoln’s head or below on the outside treads of the front tires. The tires on the other vehicles have ample tread available. Check tires regularly to ensure that the tire tread is above 2/23 of an inch. Seats on bus #2, bus #3, and bus #4 were observed to have tears and exposed foam. We discussed that there is some tape patching other seats on the buses that should be replaced when repairing the rips. Check the buses monthly to ensure all seats are in good repair. Safe Environment: The outdoor learning environment offers a sense of freedom for children. Children are able to play freely with peers, expand their imagination beyond restraints of indoor activities, release energy and explore their sense of touch, smell, taste and their sense of motion. It is important that the outdoor area is checked daily and proper upkeep is conducted to ensure the environment is safe for use. On the preschool outdoor space, there were broken wooden boards, a ripped seat cushion with exposed foam, and a loose cement square causing a tripping hazard. You stated that you were going to dispose of the wooden boards and maintenance has been contacted about the loose cement square. Check the outdoor spaces daily before the children arrive to ensure that hazards are removed. Nutrition: To be good role models for children, food and beverages must meet the nutritional requirements as outlined in the Meal Pattern for Children in Child Care Programs when they are in the presence of children. In space #1, a can of Diet Pepsi was located on a shelf and in the outdoor space a can of Bloom Crisp Apple energy drink was located on a table. We discussed that staff members should only have beverages in the classroom that children can drink as caregivers are their role models. When this was brought to the attention of the caregivers, and the cans were disposed of. Discuss this with all staff during the next staff meeting and check classrooms daily to ensure that good nutrition is being modeled. Resources: As a licensed child care facility, it is your responsibility to be knowledgeable of the child care laws and rules and to teach your staff the rules to ensure your center remains in compliance. The following resources are available to you: 1. DCDEE website, www.ncchildcare.ncdhhs.gov – current laws and rules regarding child care facilities in North Carolina, “What’s New” tab, Items Number Listing which you can use as a checklist for your program. 2. Raise NC Newsletter – weekly newsletter emailed to facility email including relevant information from the Division, training opportunities, grants, and more. You can sign up to receive Raise NC on the What’s New tab. 3. NC Health & Safety Resource Center publishes a quarterly newsletter which provides topical information on a variety of health and safety topics. If you are not receiving these emails and newsletters, then please go to https://healthychildcare.unc.edu/resources/nc-child-care-health-and-safety-e-news/ and click on ‘Newsletter Signup’ to join their mailing list. The North Carolina Rated License Assessment Project (NCRLAP), www.ncrlap.org , has resources to help you and your staff prepare for the third editions of the Environment Rating Scales (ECERS-3 and ITERS-3). Visit the website for more information about updated resources, credit hour trainings, self-assessments and outreach assessment opportunities to help you become familiar with these tools. At this time the SACERS-U will continue to be the program assessment tool for school-age programs and classrooms. Southwestern Child Development Commission, www.swcdcinc.org, Child Care Resources Inc., https://www.childcareresourcesinc.org/ and Early Years, https://www.earlyyearsnc.org/ offer DCDEE approved, on-line, self-paced and virtual real-time training and CEUs. SWCDC also offers affordable annual packages allowing you to take as many courses as you need or want for one price. The T.E.A.C.H. Early Childhood® North Carolina Scholarship Program provides educational scholarships to early care professionals and those who perform specialized functions in the early care system. https://www.childcareservices.org/programs/teach-north-carolina/ Additional Comments: Staff Education and Works: Assist staff with getting education posted in Works to count for your upcoming QRIS rated license reassessment. QRIS (Quality Rating Improvement System) Technical Assistance: All information on the QRIS rated license assessments and documents will be posted at https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRISModernization and will also be provided through emails and Raise NC newsletters. During the visit we completed the QRIS Conversation Template with a focus on the selected pathway. Your QRIS assessment is due by 12/31/2026. You have decided to follow Pathway #1: Program Assessment Pathway. We reviewed all forms for pathway #1 and accessed them at https://ncchildcare.ncdhhs.gov. North Carolina General Statute 14-208 requires sex offenders to register with the North Carolina Department of Justice. The law states that a sex offender shall not knowingly reside within 1,000 feet of the property on which any public or nonpublic school or child care center is located. This does not apply to child care centers that are located on or within 1,000 feet of property of an institution of higher education where the registrant is a student or is employed. All licensed child care centers must register to receive e-mail notification when a registered sex offender moves within a one-mile radius of the center. (§14-208.19) To register for the e-mail notification, go to http://sexoffender.ncsbi.gov. If you have any questions, please contact your local sheriff's department. NCID: Did you know that if you do not login on 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. Outdoor Learning Environments Work Plan: Bring nature to children by naturalizing childcare centers and family child care homes, schools, residential neighborhoods, parks and greenways, community centers, cultural facilities, botanical gardens, museums and other nonformal education institutions. Today, we discussed adding a science center with a sand area, thermometer, and rain gauge, music center with pots and pans, and soft furnishings with books and art materials under the teepees. Craven Smart Start is also able to provide you with resources and information, training opportunities, and technical assistance on childcare issues. Their phone number is (252) 636- 3198 or check out their website at www.cravensmartstart.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Brittany Jones, Child Care Consultant, (252) 947-1036, Brittany.j.jones@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, (252) 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. 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 .3009 · Violation

Name of Operation: Childcare Network #77 Facility ID: 25000630 Consultant: BRITTANY JONES Operation Type: Center Case Number: Visit Date: 4/30/2026 Number Present: 38 Completed Date: 4/30/2026 Age: From 0 To 5 Total Minutes: 357 Time In: 08:48 AM Time Out: 02:45 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 annual compliance visit, including compliance with requirements located in Child Care Rule Section .3000 in space #7, where children participating in the NC Pre-K program are cared for. E. Williams, Assistant Director, assisted me with the visit. Your program currently operates with a five-star license, issued 7/29/24, earning 6 points in the education component, 6 points in the program standards component and 1 quality point for having staff benefits package and infrastructure of parental involvement. The last annual compliance visit was conducted 5/19/25. The sanitation inspection was completed 11/3/25 with a “Superior” classification. The last fire inspection was conducted on 4/28/26. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty eight percent as of 4/23/26. The NC Secretary of State website was reviewed on 4/23/26 and Child Development Schools North Carolina, LLC was listed as current- active. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website and all information is current. Contact me if you need to make any changes to your contact information, e.g., phone numbers, mailing address. You visited each indoor and outdoor space with me. Children throughout the center were engaged in free play in activity centers, personal care routines, and transitions. Upon arrival, young toddlers were finishing a breakfast that consisted of scrambled eggs, applesauce, and milk. Infants were being cared for according to personal care routines including being bottle fed. Toddlers were playing on the carpet with toys. Preschoolers were observed in the outdoor space playing Ring Around the Rosie. Children in the NC Pre-K program were creating watercolor collages. The outdoor spaces were observed to have stationary clumbers, tunnels, riding toys, and balls for the children to engage in gross motor activities. The NC Pre-K requirements in section .3000 of the child care rules were monitored for compliance. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. A selection of files was monitored for health assessments and developmental screenings. You stated that Dial 4 screenings have been completed. The center uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress and final conferences are scheduled. Lunch was observed and consisted of breaded chicken sandwiches, sweet peas, sweet potatoes, and milk. The following violations were documented. Violation Number Comment Rule 508 Special diet or food allergy information was not posted where they can be seen in food preparation and eating areas. The posted food allergy list was not updated to reflect that a child enrolled has a food allergy to peanuts. .0901(g) 807 A safe indoor and outdoor environment was not provided for the children. On the preschool outdoor space, there were broken wooden boards, a ripped seat cushion with exposed foam, and a loose cement square causing a tripping hazard. 10A NCAC 09 .0601(a) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. A child enrolled space #2 had a tube of Triamcinolone Acetonide Ointment USP 0.1% on file in the original container without the pharmacy label. .0803(2)(a) 847 Parent's medication authorization did not include required information. The written permission for the Triamcinolone Acetonide Ointment USP 0.1% was documented on a form for over-the-counter topical ointments. 10A NCAC 09 .0803(4)(6-9) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. A staff member hired on 10/21/25 had certification of First Aid dated 2/20/26. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. A staff member hired on 10/21/25 had certification of CPR dated 2/20/26. .1102(d) 1123 All vehicles used to transport children were not free of hazards. The tire tread of the front two (2) tires on bus #4 was less than 2/32 of an inch. Seats on bus #2, bus #3, and bus #4 were observed to have tears and exposed foam. 10A NCAC 09 .1002(a) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. In space #1, a can of Diet Pepsi was located on a shelf and in the outdoor space a can of Bloom Crisp Apple energy drink was located on a table. .0901(i) 9995 A violation was found for which there is no item number. A staff member's purse was located on shelf in space #3 above children's cubbies that was below five (5) feet from the floor. This is a violation of a requirement in 15A NCAC 18A .2820(g). Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 5/14/26, 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 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: Brittany Jones, Child Care Consultant PO Box 3272 New Bern, NC 28564 Brittany.j.jones@dhhs.nc.gov 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 with Documented Violations: Medication: Medicines can be crucial to the health and wellness of children. They can also be very dangerous if the wrong type or wrong amount is given to the wrong person or at the wrong time. All medications must be accompanied by written authorizations from parents with complete instructions for administration. Prescription medications must also be in the original container with the pharmacy label attached. A child enrolled space #2 had a tube of Triamcinolone Acetonide Ointment USP 0.1% on file in the original container without the pharmacy label. The written permission for the Triamcinolone Acetonide Ointment USP 0.1% was documented on a form for over-the-counter topical ointments. We discussed that prescription medication must have the pharmacy label and should be documented on the long form for prescription medication. You stated that you did not think the medication was prescription because it did not have a prescription label. We discussed that the medication box states Rx only so it is important to review the medication box when accepting from a parent. During the visit, I emailed you a medication flyer that will be helpful when accepting medication to see which form needs to be used and how long it will be valid for. It would be helpful to establish a person that oversees the medication forms and checks them each month to ensure that they are correct and up to date. The posted food allergy list was not updated to reflect that a child enrolled has a food allergy to peanuts. You stated that parent just brought the medication in last week and did not have a chance to update the allergy list. Update the allergy list anytime there is a change in food allergies in the facility. CPR/First Aid: Knowing what to do in an emergency medical situation can mean the difference between life or death. Being trained in CPR and first aid can be invaluable when someone is in serious medical distress. Therefore, it is so important that all staff working directly with children have current CPR and First Aid Certification. A staff member hired on 10/21/25 had certification of CPR and First Aid dated 2/20/26. The staff member was unable to locate her previous CPR/First Aid Certificate. You stated that you have a digital calendar that has reminders for when trainings are due but due to technology issues, the certification was later than 90 days from hire. Ensure that you schedule trainings well in advance so that new staff members have time to complete them before 90 days pass. Transportation: Motor vehicle crashes are the leading cause of death in children two to fourteen years of age in the United States. Tire tread, the ribbed pattern on a tire that makes contact with the road, is important for a vehicle's safety, performance, and efficiency. Tread provides friction, which helps with acceleration, braking, and turning. It also helps keep a vehicle connected to the road and provides traction, which is especially important in dangerous conditions like rain or snow. The tire tread of the front two (2) tires on bus #4 was less than 2/32 of an inch. I used a penny to check the depth of the tires, and the tread was flush with Lincoln’s head or below on the outside treads of the front tires. The tires on the other vehicles have ample tread available. Check tires regularly to ensure that the tire tread is above 2/23 of an inch. Seats on bus #2, bus #3, and bus #4 were observed to have tears and exposed foam. We discussed that there is some tape patching other seats on the buses that should be replaced when repairing the rips. Check the buses monthly to ensure all seats are in good repair. Safe Environment: The outdoor learning environment offers a sense of freedom for children. Children are able to play freely with peers, expand their imagination beyond restraints of indoor activities, release energy and explore their sense of touch, smell, taste and their sense of motion. It is important that the outdoor area is checked daily and proper upkeep is conducted to ensure the environment is safe for use. On the preschool outdoor space, there were broken wooden boards, a ripped seat cushion with exposed foam, and a loose cement square causing a tripping hazard. You stated that you were going to dispose of the wooden boards and maintenance has been contacted about the loose cement square. Check the outdoor spaces daily before the children arrive to ensure that hazards are removed. Nutrition: To be good role models for children, food and beverages must meet the nutritional requirements as outlined in the Meal Pattern for Children in Child Care Programs when they are in the presence of children. In space #1, a can of Diet Pepsi was located on a shelf and in the outdoor space a can of Bloom Crisp Apple energy drink was located on a table. We discussed that staff members should only have beverages in the classroom that children can drink as caregivers are their role models. When this was brought to the attention of the caregivers, and the cans were disposed of. Discuss this with all staff during the next staff meeting and check classrooms daily to ensure that good nutrition is being modeled. Resources: As a licensed child care facility, it is your responsibility to be knowledgeable of the child care laws and rules and to teach your staff the rules to ensure your center remains in compliance. The following resources are available to you: 1. DCDEE website, www.ncchildcare.ncdhhs.gov – current laws and rules regarding child care facilities in North Carolina, “What’s New” tab, Items Number Listing which you can use as a checklist for your program. 2. Raise NC Newsletter – weekly newsletter emailed to facility email including relevant information from the Division, training opportunities, grants, and more. You can sign up to receive Raise NC on the What’s New tab. 3. NC Health & Safety Resource Center publishes a quarterly newsletter which provides topical information on a variety of health and safety topics. If you are not receiving these emails and newsletters, then please go to https://healthychildcare.unc.edu/resources/nc-child-care-health-and-safety-e-news/ and click on ‘Newsletter Signup’ to join their mailing list. The North Carolina Rated License Assessment Project (NCRLAP), www.ncrlap.org , has resources to help you and your staff prepare for the third editions of the Environment Rating Scales (ECERS-3 and ITERS-3). Visit the website for more information about updated resources, credit hour trainings, self-assessments and outreach assessment opportunities to help you become familiar with these tools. At this time the SACERS-U will continue to be the program assessment tool for school-age programs and classrooms. Southwestern Child Development Commission, www.swcdcinc.org, Child Care Resources Inc., https://www.childcareresourcesinc.org/ and Early Years, https://www.earlyyearsnc.org/ offer DCDEE approved, on-line, self-paced and virtual real-time training and CEUs. SWCDC also offers affordable annual packages allowing you to take as many courses as you need or want for one price. The T.E.A.C.H. Early Childhood® North Carolina Scholarship Program provides educational scholarships to early care professionals and those who perform specialized functions in the early care system. https://www.childcareservices.org/programs/teach-north-carolina/ Additional Comments: Staff Education and Works: Assist staff with getting education posted in Works to count for your upcoming QRIS rated license reassessment. QRIS (Quality Rating Improvement System) Technical Assistance: All information on the QRIS rated license assessments and documents will be posted at https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRISModernization and will also be provided through emails and Raise NC newsletters. During the visit we completed the QRIS Conversation Template with a focus on the selected pathway. Your QRIS assessment is due by 12/31/2026. You have decided to follow Pathway #1: Program Assessment Pathway. We reviewed all forms for pathway #1 and accessed them at https://ncchildcare.ncdhhs.gov. North Carolina General Statute 14-208 requires sex offenders to register with the North Carolina Department of Justice. The law states that a sex offender shall not knowingly reside within 1,000 feet of the property on which any public or nonpublic school or child care center is located. This does not apply to child care centers that are located on or within 1,000 feet of property of an institution of higher education where the registrant is a student or is employed. All licensed child care centers must register to receive e-mail notification when a registered sex offender moves within a one-mile radius of the center. (§14-208.19) To register for the e-mail notification, go to http://sexoffender.ncsbi.gov. If you have any questions, please contact your local sheriff's department. NCID: Did you know that if you do not login on 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. Outdoor Learning Environments Work Plan: Bring nature to children by naturalizing childcare centers and family child care homes, schools, residential neighborhoods, parks and greenways, community centers, cultural facilities, botanical gardens, museums and other nonformal education institutions. Today, we discussed adding a science center with a sand area, thermometer, and rain gauge, music center with pots and pans, and soft furnishings with books and art materials under the teepees. Craven Smart Start is also able to provide you with resources and information, training opportunities, and technical assistance on childcare issues. Their phone number is (252) 636- 3198 or check out their website at www.cravensmartstart.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Brittany Jones, Child Care Consultant, (252) 947-1036, Brittany.j.jones@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, (252) 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. 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: Childcare Network #77 Facility ID: 25000630 Consultant: BRITTANY JONES Operation Type: Center Case Number: Visit Date: 4/30/2026 Number Present: 38 Completed Date: 4/30/2026 Age: From 0 To 5 Total Minutes: 357 Time In: 08:48 AM Time Out: 02:45 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 annual compliance visit, including compliance with requirements located in Child Care Rule Section .3000 in space #7, where children participating in the NC Pre-K program are cared for. E. Williams, Assistant Director, assisted me with the visit. Your program currently operates with a five-star license, issued 7/29/24, earning 6 points in the education component, 6 points in the program standards component and 1 quality point for having staff benefits package and infrastructure of parental involvement. The last annual compliance visit was conducted 5/19/25. The sanitation inspection was completed 11/3/25 with a “Superior” classification. The last fire inspection was conducted on 4/28/26. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty eight percent as of 4/23/26. The NC Secretary of State website was reviewed on 4/23/26 and Child Development Schools North Carolina, LLC was listed as current- active. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website and all information is current. Contact me if you need to make any changes to your contact information, e.g., phone numbers, mailing address. You visited each indoor and outdoor space with me. Children throughout the center were engaged in free play in activity centers, personal care routines, and transitions. Upon arrival, young toddlers were finishing a breakfast that consisted of scrambled eggs, applesauce, and milk. Infants were being cared for according to personal care routines including being bottle fed. Toddlers were playing on the carpet with toys. Preschoolers were observed in the outdoor space playing Ring Around the Rosie. Children in the NC Pre-K program were creating watercolor collages. The outdoor spaces were observed to have stationary clumbers, tunnels, riding toys, and balls for the children to engage in gross motor activities. The NC Pre-K requirements in section .3000 of the child care rules were monitored for compliance. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. A selection of files was monitored for health assessments and developmental screenings. You stated that Dial 4 screenings have been completed. The center uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress and final conferences are scheduled. Lunch was observed and consisted of breaded chicken sandwiches, sweet peas, sweet potatoes, and milk. The following violations were documented. Violation Number Comment Rule 508 Special diet or food allergy information was not posted where they can be seen in food preparation and eating areas. The posted food allergy list was not updated to reflect that a child enrolled has a food allergy to peanuts. .0901(g) 807 A safe indoor and outdoor environment was not provided for the children. On the preschool outdoor space, there were broken wooden boards, a ripped seat cushion with exposed foam, and a loose cement square causing a tripping hazard. 10A NCAC 09 .0601(a) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. A child enrolled space #2 had a tube of Triamcinolone Acetonide Ointment USP 0.1% on file in the original container without the pharmacy label. .0803(2)(a) 847 Parent's medication authorization did not include required information. The written permission for the Triamcinolone Acetonide Ointment USP 0.1% was documented on a form for over-the-counter topical ointments. 10A NCAC 09 .0803(4)(6-9) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. A staff member hired on 10/21/25 had certification of First Aid dated 2/20/26. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. A staff member hired on 10/21/25 had certification of CPR dated 2/20/26. .1102(d) 1123 All vehicles used to transport children were not free of hazards. The tire tread of the front two (2) tires on bus #4 was less than 2/32 of an inch. Seats on bus #2, bus #3, and bus #4 were observed to have tears and exposed foam. 10A NCAC 09 .1002(a) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. In space #1, a can of Diet Pepsi was located on a shelf and in the outdoor space a can of Bloom Crisp Apple energy drink was located on a table. .0901(i) 9995 A violation was found for which there is no item number. A staff member's purse was located on shelf in space #3 above children's cubbies that was below five (5) feet from the floor. This is a violation of a requirement in 15A NCAC 18A .2820(g). Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 5/14/26, 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 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: Brittany Jones, Child Care Consultant PO Box 3272 New Bern, NC 28564 Brittany.j.jones@dhhs.nc.gov 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 with Documented Violations: Medication: Medicines can be crucial to the health and wellness of children. They can also be very dangerous if the wrong type or wrong amount is given to the wrong person or at the wrong time. All medications must be accompanied by written authorizations from parents with complete instructions for administration. Prescription medications must also be in the original container with the pharmacy label attached. A child enrolled space #2 had a tube of Triamcinolone Acetonide Ointment USP 0.1% on file in the original container without the pharmacy label. The written permission for the Triamcinolone Acetonide Ointment USP 0.1% was documented on a form for over-the-counter topical ointments. We discussed that prescription medication must have the pharmacy label and should be documented on the long form for prescription medication. You stated that you did not think the medication was prescription because it did not have a prescription label. We discussed that the medication box states Rx only so it is important to review the medication box when accepting from a parent. During the visit, I emailed you a medication flyer that will be helpful when accepting medication to see which form needs to be used and how long it will be valid for. It would be helpful to establish a person that oversees the medication forms and checks them each month to ensure that they are correct and up to date. The posted food allergy list was not updated to reflect that a child enrolled has a food allergy to peanuts. You stated that parent just brought the medication in last week and did not have a chance to update the allergy list. Update the allergy list anytime there is a change in food allergies in the facility. CPR/First Aid: Knowing what to do in an emergency medical situation can mean the difference between life or death. Being trained in CPR and first aid can be invaluable when someone is in serious medical distress. Therefore, it is so important that all staff working directly with children have current CPR and First Aid Certification. A staff member hired on 10/21/25 had certification of CPR and First Aid dated 2/20/26. The staff member was unable to locate her previous CPR/First Aid Certificate. You stated that you have a digital calendar that has reminders for when trainings are due but due to technology issues, the certification was later than 90 days from hire. Ensure that you schedule trainings well in advance so that new staff members have time to complete them before 90 days pass. Transportation: Motor vehicle crashes are the leading cause of death in children two to fourteen years of age in the United States. Tire tread, the ribbed pattern on a tire that makes contact with the road, is important for a vehicle's safety, performance, and efficiency. Tread provides friction, which helps with acceleration, braking, and turning. It also helps keep a vehicle connected to the road and provides traction, which is especially important in dangerous conditions like rain or snow. The tire tread of the front two (2) tires on bus #4 was less than 2/32 of an inch. I used a penny to check the depth of the tires, and the tread was flush with Lincoln’s head or below on the outside treads of the front tires. The tires on the other vehicles have ample tread available. Check tires regularly to ensure that the tire tread is above 2/23 of an inch. Seats on bus #2, bus #3, and bus #4 were observed to have tears and exposed foam. We discussed that there is some tape patching other seats on the buses that should be replaced when repairing the rips. Check the buses monthly to ensure all seats are in good repair. Safe Environment: The outdoor learning environment offers a sense of freedom for children. Children are able to play freely with peers, expand their imagination beyond restraints of indoor activities, release energy and explore their sense of touch, smell, taste and their sense of motion. It is important that the outdoor area is checked daily and proper upkeep is conducted to ensure the environment is safe for use. On the preschool outdoor space, there were broken wooden boards, a ripped seat cushion with exposed foam, and a loose cement square causing a tripping hazard. You stated that you were going to dispose of the wooden boards and maintenance has been contacted about the loose cement square. Check the outdoor spaces daily before the children arrive to ensure that hazards are removed. Nutrition: To be good role models for children, food and beverages must meet the nutritional requirements as outlined in the Meal Pattern for Children in Child Care Programs when they are in the presence of children. In space #1, a can of Diet Pepsi was located on a shelf and in the outdoor space a can of Bloom Crisp Apple energy drink was located on a table. We discussed that staff members should only have beverages in the classroom that children can drink as caregivers are their role models. When this was brought to the attention of the caregivers, and the cans were disposed of. Discuss this with all staff during the next staff meeting and check classrooms daily to ensure that good nutrition is being modeled. Resources: As a licensed child care facility, it is your responsibility to be knowledgeable of the child care laws and rules and to teach your staff the rules to ensure your center remains in compliance. The following resources are available to you: 1. DCDEE website, www.ncchildcare.ncdhhs.gov – current laws and rules regarding child care facilities in North Carolina, “What’s New” tab, Items Number Listing which you can use as a checklist for your program. 2. Raise NC Newsletter – weekly newsletter emailed to facility email including relevant information from the Division, training opportunities, grants, and more. You can sign up to receive Raise NC on the What’s New tab. 3. NC Health & Safety Resource Center publishes a quarterly newsletter which provides topical information on a variety of health and safety topics. If you are not receiving these emails and newsletters, then please go to https://healthychildcare.unc.edu/resources/nc-child-care-health-and-safety-e-news/ and click on ‘Newsletter Signup’ to join their mailing list. The North Carolina Rated License Assessment Project (NCRLAP), www.ncrlap.org , has resources to help you and your staff prepare for the third editions of the Environment Rating Scales (ECERS-3 and ITERS-3). Visit the website for more information about updated resources, credit hour trainings, self-assessments and outreach assessment opportunities to help you become familiar with these tools. At this time the SACERS-U will continue to be the program assessment tool for school-age programs and classrooms. Southwestern Child Development Commission, www.swcdcinc.org, Child Care Resources Inc., https://www.childcareresourcesinc.org/ and Early Years, https://www.earlyyearsnc.org/ offer DCDEE approved, on-line, self-paced and virtual real-time training and CEUs. SWCDC also offers affordable annual packages allowing you to take as many courses as you need or want for one price. The T.E.A.C.H. Early Childhood® North Carolina Scholarship Program provides educational scholarships to early care professionals and those who perform specialized functions in the early care system. https://www.childcareservices.org/programs/teach-north-carolina/ Additional Comments: Staff Education and Works: Assist staff with getting education posted in Works to count for your upcoming QRIS rated license reassessment. QRIS (Quality Rating Improvement System) Technical Assistance: All information on the QRIS rated license assessments and documents will be posted at https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRISModernization and will also be provided through emails and Raise NC newsletters. During the visit we completed the QRIS Conversation Template with a focus on the selected pathway. Your QRIS assessment is due by 12/31/2026. You have decided to follow Pathway #1: Program Assessment Pathway. We reviewed all forms for pathway #1 and accessed them at https://ncchildcare.ncdhhs.gov. North Carolina General Statute 14-208 requires sex offenders to register with the North Carolina Department of Justice. The law states that a sex offender shall not knowingly reside within 1,000 feet of the property on which any public or nonpublic school or child care center is located. This does not apply to child care centers that are located on or within 1,000 feet of property of an institution of higher education where the registrant is a student or is employed. All licensed child care centers must register to receive e-mail notification when a registered sex offender moves within a one-mile radius of the center. (§14-208.19) To register for the e-mail notification, go to http://sexoffender.ncsbi.gov. If you have any questions, please contact your local sheriff's department. NCID: Did you know that if you do not login on 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. Outdoor Learning Environments Work Plan: Bring nature to children by naturalizing childcare centers and family child care homes, schools, residential neighborhoods, parks and greenways, community centers, cultural facilities, botanical gardens, museums and other nonformal education institutions. Today, we discussed adding a science center with a sand area, thermometer, and rain gauge, music center with pots and pans, and soft furnishings with books and art materials under the teepees. Craven Smart Start is also able to provide you with resources and information, training opportunities, and technical assistance on childcare issues. Their phone number is (252) 636- 3198 or check out their website at www.cravensmartstart.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Brittany Jones, Child Care Consultant, (252) 947-1036, Brittany.j.jones@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, (252) 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. 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: Childcare Network #77 Facility ID: 25000630 Consultant: BRITTANY JONES Operation Type: Center Case Number: 1025-222L Visit Date: 10/29/2025 Number Present: 29 Completed Date: 10/29/2025 Age: From 0 To 5 Total Minutes: 120 Time In: 08:15 AM Time Out: 10:15 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. The allegations are as follows: 1. There is a concern that children are not adequately supervised. 2. There is a concern that developmentally appropriate activities are not being provided. 3. There is a concern that staff child ratios are not being followed. 4. There are concerns about incident reports and incident log being completed. 5. There is a concern that emergency drills are not being completed. 6. There is a concern that sanitation guidelines are not being followed. 7. There is a concern regarding staff qualifications. A. Lawrence, Administrator, assisted me with today’s visit. Upon arrival, children arrived to the center and were engaged in free play in activity centers before breakfast. Breakfast was observed and consisted of cheese omelets, mandarin oranges, and milk. Regarding the allegation that children were not adequately supervised, I made classroom observations and interviewed staff. Video footage is not recorded. Classrooms transitioned to and from outdoor spaces and the bathrooms located in the hallways and teachers were positioned so that they could see and hear the children at all times. I observed staff members request assistance via walkie talkies and assistance was rendered in a timely fashion. The administrator assisted classrooms with the transition to and from the outdoor space by completing a head count as the children walked in or out of the door. Adequate supervision was maintained. Based on the classroom observations, the allegation was unconfirmed. Regarding the allegation that developmentally appropriate activities are not being provided, I reviewed classroom activity plans and schedules. I also interviewed staff members about the daily schedule. Upon review of the schedules and activity plan, it was found that the center uses High Reach Learning Curriculum. Weekly lesson plans are premade, and the staff members create weekly enhancement plans to add materials to each activity center according to the theme and individualized goals. It was reported to me that meal times occur every three to four hours and they were reflected on the written schedules. When reviewing indoor learning environments, posted materials reflected the theme. Based on the above information, the allegation is unconfirmed. Regarding the allegation that staff child ratios are not being followed, I interviewed staff regarding their schedules and monitored each classroom space. Upon reviewing attendance records and staff work schedules, I found that staff/child ratios were maintained. Staff/child ratios were always maintained during my classroom observations. It was reported that staff/child ratios are maintained throughout the day and that children are not accepted to the center if there are not enough staff members to maintain ratio. It was reported to me that the administrator places a child in a stroller in order to maintain ratio and walks the child through the center. Based on the above information, the allegation is unconfirmed. Regarding the allegation about incident reports and incident log, I reviewed incident reports and the incident log. I also interviewed administration about the incident report process. The incident log was up to date and incident reports were found to be complete and filed in children’s files. It was reported that staff members complete the incident report and administration review the report for completion before parents sign them. Based on information above, the allegation was unconfirmed. Regarding the allegation that fire drills are not being completed, I reviewed the emergency drill log and interviewed staff members. It was reported to me that fire drills are being completed monthly, and emergency drills are completed quarterly. I reviewed documentation of the emergency drill log being sent to corporate office after each emergency drill. Based on the above information, the allegation is unconfirmed. Regarding the allegation that sanitation requirements were not in compliance, I made classroom observations and interviewed staff members. I monitored handwashing and sanitation procedures and found that there were lapses in handwashing and sanitation procedures in space #3. Based on classroom observations, the allegation is confirmed. Regarding the allegation about staff qualifications, I reviewed staff files and interviewed staff members and administrator. We discussed the position of each staff member and I reviewed their staff file to ensure that they had the qualifications needed for the position. Based on the above information, the allegation is unconfirmed. The following violations were observed. Violation Number Comment Rule 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. In space #2, children did not wash their hands before or after playing with playdough. In space #2, all children did not wash their hands before lunch. 15A NCAC 18A .2803(c) 609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items. In space #2, a staff member did not wash their hands before putting on gloves to serve lunch. 15A NCAC 18A .2803(a) 616 Toys and other mouth-contact surfaces were not cleaned and sanitized daily when used or cleaned more frequently if visibly dirty. In space #2, the tables were not sanitized before lunch. .2822(a)(1-4) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 11/12/25, 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 will be conducted. Mail or email the information to: Brittany Jones, Child Care Consultant PO Box 3272 New Bern, NC 28564 Brittany.j.jones@dhhs.nc.gov 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 with Documented Violations: Handwashing: According to Center for Disease Control and Prevention, Clean hands save lives. Handwashing is like a "doit-yourself" vaccine—it involves five simple and effective steps (Wet, Lather, Scrub, Rinse, Dry) you can take to reduce the spread of diarrheal and respiratory illness so you can stay healthy. Regular handwashing, particularly before and after certain activities, is one of the best ways to remove germs, avoid getting sick, and prevent the spread of germs to others. It's quick, it's simple, and it can keep us all from getting sick. Handwashing is a win for everyone, except the germs. In space #2, children did not wash their hands before or after playing with playdough. In space #2, all children did not wash their hands before lunch. Also, in space #2, a staff member did not wash their hands before putting on gloves to serve lunch. You stated that the teachers are new to the classroom space and they will be receiving hands on guidance for the next two weeks. Ensure that all staff understand the importance of hand washing and when it is necessary to wash hands by making daily observations. Sanitation: Young children sneeze, cough, drool, use diapers and are just learning to use the toilet. They hug, kiss, touch everything and put objects in their mouths. Illnesses may be spread in a variety of ways, such as by coughing, sneezing, direct skin-to-skin contact, or touching a contaminated object or surface. Tables must be cleaned and sanitized before children sit down to eat. In space #2, the tables were not sanitized before lunch. We discussed that sanitizer must sit for at least two minutes to sanitize the surface. Make daily observations of staff members. During your observations of staff, give feedback to teachers on how they complete sanitation procedures and model when needed. Discuss sanitation guidelines at the next staff meeting. Additional Comments: We discussed that children should only be cared for in approved spaces. Supervision: We reviewed the supervision requirements during diapering procedures. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Brittany Jones, Child Care Consultant, (252) 947-1036, Brittany.j.jones@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, (252) 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. 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 .0902 · Violation

Name of Operation: Childcare Network #77 Facility ID: 25000630 Consultant: BRITTANY JONES Operation Type: Center Case Number: 0825-112L Visit Date: 9/17/2025 Number Present: 35 Completed Date: 9/17/2025 Age: From 0 To 5 Total Minutes: 183 Time In: 09:17 AM Time Out: 12:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Follow-Up Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. The allegations are as follows: 1. There is a concern that children were not adequately supervised. 2. There is a concern that children were not cared for in a nurturing and caring manner. 3. There is a concern that staff/child ratios were not being followed. 4. There is a concern that safe sleep practices were not followed. 5. There is a concern that documentation was not provided when a child was injured in care. 6. There is a concern that children are not being changed when soiled. 7. There is a concern that children are not being fed according to the feeding schedule. A. Lawrence, Administrator, assisted me with today's visit. Staff/child ratio, group size, supervision, use of licensed space, space capacity, and license restrictions were monitored. Children throughout the center were engaged in free play in activity centers, personal care routines, and transitions. Toddlers were being read a book on the carpet. Infants were playing on the carpet and having tummy time. Preschoolers were writing their names, building with blocks, and completing puzzles. Regarding the allegation that children were not adequately supervised, I observed all classroom spaces and interviewed staff members and administrators today and on August 22, 2025. Classrooms transitioned to and from outdoor spaces and the bathrooms located in the hallways and teachers were positioned so that they could see and hear the children at all times. I observed staff members request assistance via walkie talkies and assistance was rendered in a timely fashion. The administrator assisted classrooms with the transition to and from the outdoor space by completing a head count as the children walked in or out of the door. Adequate supervision was maintained. Based on the classroom observations and staff interviews, the allegation was unconfirmed. Based on the information provided, there is a concern that staff did not interact in a nurturing and caring manner while in the presence of children. The administrator and staff members were interviewed, and classroom observations were conducted today and on August 22, 2025. Interactions between children and staff members were observed. Teachers engaged in conversation and redirected children using soft tones with positive reinforcement. Staff members worked together to care for the children and used positive verbal interactions. It was reported that staff have been working on team building and it has created a better atmosphere in the center. Based on observations and information received from interviewed staff, the allegation is unconfirmed. Regarding the allegation that staff/child ratios were not being followed, I reviewed attendance records, arrival and departure times for each child and staff member and interviewed staff regarding their schedules. I also monitored each classroom space today and on August 22, 2025. Upon review of attendance records and staff timesheet records documenting work times, I found that staff/child ratios were maintained. Staff/child ratios were maintained at all times during my classroom observations. It was reported that staff child ratios are maintained throughout the day and that children are not accepted to the center if there are not enough staff members to maintain ratio. I observed classrooms using a transition sheet to document when a child is added from another classroom to the attendance sheet to ensure that ratios are maintained. Based on the above information, the allegation is unconfirmed. Regarding the allegation that safe sleep practices were not followed, I observed space #2 and reviewed safe sleep charts. I also interviewed the administrator and caregivers. I observed sleep sacks that the children wear at nap time and found that they are not swaddlers. Upon entering the room at 12:20pm on August 22, 2025, two infants were sleeping, and their sleep charts had not been completed since 11:30am. It was reported that the staff member in charge was busy feeding children lunch during that time. Based on the safe sleep documentation, the allegation is confirmed. Regarding the allegation that documentation was not provided when a child was injured in care, I reviewed incident reports and the incident log. I also interviewed staff members and the administrator. Upon reviewing the incident log and incident reports for the months of May through July, I found that seven incidents had not been documented on the incident log, two incident reports had not been signed by a parent, and one incident report was not completed. Based on the reviewed incident reports and incident log, the allegation is confirmed. Regarding the allegation that diapers were not being changed when soiled, I reviewed the times that diapers were changed and the times of arrival and departure. I also interviewed staff members about the diapering procedure. Upon review of the times that children were changed and the times that they were sleeping on sleep charts for seven children during the dates of 7/30/25- 8/8/25, I found that in six of the children’s records that they were not changed between two and a half hours to five hours and forty minutes. Based on the above information, the allegation is confirmed. Regarding the allegation that children are not being fed according to the feeding schedule, I reviewed infant feeding schedules and the documented feeding times. I also interviewed staff members. A child’s feeding schedule and daily report including feeding times were reviewed for August 5, 2025, and found that the child was fed breakfast at 8:41am and was not documented to have been fed lunch before the child was checked out at 1:35pm. The child was in care for 5 hours and 45 minutes and received one meal. Based on the above information, the allegation is confirmed. The following violations were documented. Violation Number Comment Rule 401 Diapers were not changed whenever they were soiled or wet and/or were changed on a shift basis. Documented diaper change times and sleep charts were reviewed for seven (7) children during the dates of 7/30/25-8/8/25. In six (6) of the (7) children’s records, it was found that diaper changing times were documented with lapses of between two and a half hours and five hours and forty minutes. 10A NCAC 09 .0806(a) 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) An infant’s feeding schedule reflected that the child should be fed lunch at 12pm. On August 5, 2025, there was no documentation that the child was fed lunch according to the child’s daily report. 10A NCAC 09 .0902(a) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. Incident reports were reviewed for the months of May, June, and July of 2025 and two (2) incident reports had not been signed by a parent, and one (1) incident report was not completed with the time and date of the incident. .0802 (e) 853 Incident logs were not completed and maintained as required. The incident log for the months of May, June, and July of 2025 was reviewed, and seven (7) incidents had not been documented. .0802(g)(1-6) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. On August 22, 2025, I entered space #2 at12:20pm and two (2) infants were sleeping, and their sleep charts had not been completed since 11:30am. .0606(g) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 10/1/2025, 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 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: Brittany Jones, Child Care Consultant PO Box 3272 New Bern, NC 28564 Brittany.j.jones@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with 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 with Documented Violations: Safe Sleep Practices: Maintaining a safe sleep environment and equipment and following safe sleep practices in early care and education programs are important to keep infants safe. Maintaining accurate documentation at the child care center is important in determining compliance with the child care rules and to ensure the health and safety of each child. Infant sleep charts allow teachers to document visually checking sleeping infants every 15 minutes. They note the infant’s sleep position, skin color, breathing, level of sleep, and body temperature. This needs to be documented every time a child is sleeping in your care. Upon entering the room at 12:20pm on August 22, 2025, two infants were sleeping, and their sleep charts had not been completed since 11:30am. The teacher reported that she was busy feeding infants and getting them ready for nap time. We discussed that that documentation needs to be done every time the children are asleep and to notate the time that they are laid down in the crib or time that they fall asleep immediately. We discussed using the dry erase board to document when children are last fed, changed, and fell asleep will be a visual for all staff members to be able to see and update even if they are only in the room to cover a bathroom or lunch break and I observed it being used during today’s visit. Also during today’s visit, I observed that the center is now using the safe sleep charts found in the provider documents. You stated that these charts are easier to use and can allow the teacher to notate specific sleep times. Ensure that staff members can easily access sleep charts to document when a child falls asleep and every 15 minutes until they wake up and review them during classroom observations. Incident Reports: An incident report should be completed and logged each time a child is injured, regardless of whether medical care is needed. It is helpful to remember the “three B’s”: bumps, bruises, and blood, as a reminder of when to complete incident reports. The incident report should specify what happened to cause the injury and then by reviewed with the parent before the parent signs the report. The incident log and incident reports for the months of May through July were reviewed and I found that seven incidents had not been documented on the incident log, two incident reports had not been signed by a parent, and one incident report was not completed with the time and date of the incident. You stated that the sometimes teachers do not turn in incident reports at the end of the day so they are unable to be logged immediately. You stated that you had a staff meeting on July 29, 2025 to discuss completing incident reports and the process of having them signed and turned in to the office to be logged. Review incident logs when they are turned in to ensure that they are being filled out correctly, signed, and logged. Diapering: Diapers should be checked for wetness and feces at least hourly, visually inspected at least every two hours, and whenever the child indicates discomfort or exhibits behavior that suggests a soiled or wet diaper. Diapers should be changed when they are found to be wet or soiled. It can be helpful to document when diapers are changed, as a visual to see when diapers should be changed next. Upon review of the times that children were changed and the times that they were sleeping on sleep charts for seven children during the dates of 7/30/25- 8/8/25, I found that in six of the children’s records that they were not changed between two and a half hours to five hours and forty minutes. You stated that diaper changes are documented in the digital daily report that is sent to parents at the end of each day and the diaper changes occur every hour and a half. During today’s visit, I observed that classrooms with changing tables are now using a paper diaper change history form to notate diaper change times immediately and then can be uploaded into the tablet during nap time. Some classrooms also have dry erase boards beside the bathroom to notate diaper change times. We discussed that children do not need to be woken to change their diaper, but they need to be changed or checked immediately after they wake if two hours has passed. You stated that you have spoken to staff members to reiterate the importance of checking diapers before they lay down for nap and changing diapers immediately after nap time. You also stated that staff members have been reminded to ask for assistance during diaper changes to ensure supervision is maintained. Make classroom observations to ensure teachers are completing diaper changes at least every two hours when they are awake and that the times are documented. Feeding Schedules: Growth and development during infancy require that nourishing, wholesome, and developmentally appropriate food be provided, using safe approaches to feeding. All children under 15 months of age must have a signed feeding schedule/plan on file. The infant feeding plans should be developed with each infant’s parents/guardians and, when appropriate, in collaboration with the child’s primary care provider. A child’s feeding schedule and daily report including feeding times were reviewed for August 5, 2025, and found that the child was fed breakfast at 8:41am and was not documented to have been fed lunch before the child was checked out at 1:35pm. The child was in care for 5 hours and 45 minutes and received one meal. You stated the child was drinking a bottle at the time of pick up, but it was not documented. We discussed that infants must be fed according to the feeding plan which stated that the child should have eaten lunch at 12pm. We reviewed the feeding plan on the provider documents and discussed updating the current form to be more specific with the amount of time in between feedings. Make classroom observations to ensure that feeding schedules are being followed and documented. Additional Comments: North Carolina Child Care Health and Safety Resource Center: https://healthychildcare.unc.edu/ The NC Resource Center’s mission is to promote healthy and safe indoor and outdoor environments in early care and education settings through child care health consultation. This website contains many helpful resources including the Communicable Diseases and Exclusion Chart. Craven Smart Start is also able to provide you with resources and information, training opportunities, and technical assistance on childcare issues. Their phone number is (252) 636- 3198 or check out their website at www.cravensmartstart.org. At the completion of the visit, this Visit Summary was printed, reviewed, and a copy was left with you. Contact me at Brittany Jones, Child Care Consultant, (252) 947-1036, Brittany.j.jones@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, (252) 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. 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 .0806 · Violation

Name of Operation: Childcare Network #77 Facility ID: 25000630 Consultant: BRITTANY JONES Operation Type: Center Case Number: 0825-112L Visit Date: 9/17/2025 Number Present: 35 Completed Date: 9/17/2025 Age: From 0 To 5 Total Minutes: 183 Time In: 09:17 AM Time Out: 12:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Follow-Up Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. The allegations are as follows: 1. There is a concern that children were not adequately supervised. 2. There is a concern that children were not cared for in a nurturing and caring manner. 3. There is a concern that staff/child ratios were not being followed. 4. There is a concern that safe sleep practices were not followed. 5. There is a concern that documentation was not provided when a child was injured in care. 6. There is a concern that children are not being changed when soiled. 7. There is a concern that children are not being fed according to the feeding schedule. A. Lawrence, Administrator, assisted me with today's visit. Staff/child ratio, group size, supervision, use of licensed space, space capacity, and license restrictions were monitored. Children throughout the center were engaged in free play in activity centers, personal care routines, and transitions. Toddlers were being read a book on the carpet. Infants were playing on the carpet and having tummy time. Preschoolers were writing their names, building with blocks, and completing puzzles. Regarding the allegation that children were not adequately supervised, I observed all classroom spaces and interviewed staff members and administrators today and on August 22, 2025. Classrooms transitioned to and from outdoor spaces and the bathrooms located in the hallways and teachers were positioned so that they could see and hear the children at all times. I observed staff members request assistance via walkie talkies and assistance was rendered in a timely fashion. The administrator assisted classrooms with the transition to and from the outdoor space by completing a head count as the children walked in or out of the door. Adequate supervision was maintained. Based on the classroom observations and staff interviews, the allegation was unconfirmed. Based on the information provided, there is a concern that staff did not interact in a nurturing and caring manner while in the presence of children. The administrator and staff members were interviewed, and classroom observations were conducted today and on August 22, 2025. Interactions between children and staff members were observed. Teachers engaged in conversation and redirected children using soft tones with positive reinforcement. Staff members worked together to care for the children and used positive verbal interactions. It was reported that staff have been working on team building and it has created a better atmosphere in the center. Based on observations and information received from interviewed staff, the allegation is unconfirmed. Regarding the allegation that staff/child ratios were not being followed, I reviewed attendance records, arrival and departure times for each child and staff member and interviewed staff regarding their schedules. I also monitored each classroom space today and on August 22, 2025. Upon review of attendance records and staff timesheet records documenting work times, I found that staff/child ratios were maintained. Staff/child ratios were maintained at all times during my classroom observations. It was reported that staff child ratios are maintained throughout the day and that children are not accepted to the center if there are not enough staff members to maintain ratio. I observed classrooms using a transition sheet to document when a child is added from another classroom to the attendance sheet to ensure that ratios are maintained. Based on the above information, the allegation is unconfirmed. Regarding the allegation that safe sleep practices were not followed, I observed space #2 and reviewed safe sleep charts. I also interviewed the administrator and caregivers. I observed sleep sacks that the children wear at nap time and found that they are not swaddlers. Upon entering the room at 12:20pm on August 22, 2025, two infants were sleeping, and their sleep charts had not been completed since 11:30am. It was reported that the staff member in charge was busy feeding children lunch during that time. Based on the safe sleep documentation, the allegation is confirmed. Regarding the allegation that documentation was not provided when a child was injured in care, I reviewed incident reports and the incident log. I also interviewed staff members and the administrator. Upon reviewing the incident log and incident reports for the months of May through July, I found that seven incidents had not been documented on the incident log, two incident reports had not been signed by a parent, and one incident report was not completed. Based on the reviewed incident reports and incident log, the allegation is confirmed. Regarding the allegation that diapers were not being changed when soiled, I reviewed the times that diapers were changed and the times of arrival and departure. I also interviewed staff members about the diapering procedure. Upon review of the times that children were changed and the times that they were sleeping on sleep charts for seven children during the dates of 7/30/25- 8/8/25, I found that in six of the children’s records that they were not changed between two and a half hours to five hours and forty minutes. Based on the above information, the allegation is confirmed. Regarding the allegation that children are not being fed according to the feeding schedule, I reviewed infant feeding schedules and the documented feeding times. I also interviewed staff members. A child’s feeding schedule and daily report including feeding times were reviewed for August 5, 2025, and found that the child was fed breakfast at 8:41am and was not documented to have been fed lunch before the child was checked out at 1:35pm. The child was in care for 5 hours and 45 minutes and received one meal. Based on the above information, the allegation is confirmed. The following violations were documented. Violation Number Comment Rule 401 Diapers were not changed whenever they were soiled or wet and/or were changed on a shift basis. Documented diaper change times and sleep charts were reviewed for seven (7) children during the dates of 7/30/25-8/8/25. In six (6) of the (7) children’s records, it was found that diaper changing times were documented with lapses of between two and a half hours and five hours and forty minutes. 10A NCAC 09 .0806(a) 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) An infant’s feeding schedule reflected that the child should be fed lunch at 12pm. On August 5, 2025, there was no documentation that the child was fed lunch according to the child’s daily report. 10A NCAC 09 .0902(a) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. Incident reports were reviewed for the months of May, June, and July of 2025 and two (2) incident reports had not been signed by a parent, and one (1) incident report was not completed with the time and date of the incident. .0802 (e) 853 Incident logs were not completed and maintained as required. The incident log for the months of May, June, and July of 2025 was reviewed, and seven (7) incidents had not been documented. .0802(g)(1-6) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. On August 22, 2025, I entered space #2 at12:20pm and two (2) infants were sleeping, and their sleep charts had not been completed since 11:30am. .0606(g) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 10/1/2025, 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 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: Brittany Jones, Child Care Consultant PO Box 3272 New Bern, NC 28564 Brittany.j.jones@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with 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 with Documented Violations: Safe Sleep Practices: Maintaining a safe sleep environment and equipment and following safe sleep practices in early care and education programs are important to keep infants safe. Maintaining accurate documentation at the child care center is important in determining compliance with the child care rules and to ensure the health and safety of each child. Infant sleep charts allow teachers to document visually checking sleeping infants every 15 minutes. They note the infant’s sleep position, skin color, breathing, level of sleep, and body temperature. This needs to be documented every time a child is sleeping in your care. Upon entering the room at 12:20pm on August 22, 2025, two infants were sleeping, and their sleep charts had not been completed since 11:30am. The teacher reported that she was busy feeding infants and getting them ready for nap time. We discussed that that documentation needs to be done every time the children are asleep and to notate the time that they are laid down in the crib or time that they fall asleep immediately. We discussed using the dry erase board to document when children are last fed, changed, and fell asleep will be a visual for all staff members to be able to see and update even if they are only in the room to cover a bathroom or lunch break and I observed it being used during today’s visit. Also during today’s visit, I observed that the center is now using the safe sleep charts found in the provider documents. You stated that these charts are easier to use and can allow the teacher to notate specific sleep times. Ensure that staff members can easily access sleep charts to document when a child falls asleep and every 15 minutes until they wake up and review them during classroom observations. Incident Reports: An incident report should be completed and logged each time a child is injured, regardless of whether medical care is needed. It is helpful to remember the “three B’s”: bumps, bruises, and blood, as a reminder of when to complete incident reports. The incident report should specify what happened to cause the injury and then by reviewed with the parent before the parent signs the report. The incident log and incident reports for the months of May through July were reviewed and I found that seven incidents had not been documented on the incident log, two incident reports had not been signed by a parent, and one incident report was not completed with the time and date of the incident. You stated that the sometimes teachers do not turn in incident reports at the end of the day so they are unable to be logged immediately. You stated that you had a staff meeting on July 29, 2025 to discuss completing incident reports and the process of having them signed and turned in to the office to be logged. Review incident logs when they are turned in to ensure that they are being filled out correctly, signed, and logged. Diapering: Diapers should be checked for wetness and feces at least hourly, visually inspected at least every two hours, and whenever the child indicates discomfort or exhibits behavior that suggests a soiled or wet diaper. Diapers should be changed when they are found to be wet or soiled. It can be helpful to document when diapers are changed, as a visual to see when diapers should be changed next. Upon review of the times that children were changed and the times that they were sleeping on sleep charts for seven children during the dates of 7/30/25- 8/8/25, I found that in six of the children’s records that they were not changed between two and a half hours to five hours and forty minutes. You stated that diaper changes are documented in the digital daily report that is sent to parents at the end of each day and the diaper changes occur every hour and a half. During today’s visit, I observed that classrooms with changing tables are now using a paper diaper change history form to notate diaper change times immediately and then can be uploaded into the tablet during nap time. Some classrooms also have dry erase boards beside the bathroom to notate diaper change times. We discussed that children do not need to be woken to change their diaper, but they need to be changed or checked immediately after they wake if two hours has passed. You stated that you have spoken to staff members to reiterate the importance of checking diapers before they lay down for nap and changing diapers immediately after nap time. You also stated that staff members have been reminded to ask for assistance during diaper changes to ensure supervision is maintained. Make classroom observations to ensure teachers are completing diaper changes at least every two hours when they are awake and that the times are documented. Feeding Schedules: Growth and development during infancy require that nourishing, wholesome, and developmentally appropriate food be provided, using safe approaches to feeding. All children under 15 months of age must have a signed feeding schedule/plan on file. The infant feeding plans should be developed with each infant’s parents/guardians and, when appropriate, in collaboration with the child’s primary care provider. A child’s feeding schedule and daily report including feeding times were reviewed for August 5, 2025, and found that the child was fed breakfast at 8:41am and was not documented to have been fed lunch before the child was checked out at 1:35pm. The child was in care for 5 hours and 45 minutes and received one meal. You stated the child was drinking a bottle at the time of pick up, but it was not documented. We discussed that infants must be fed according to the feeding plan which stated that the child should have eaten lunch at 12pm. We reviewed the feeding plan on the provider documents and discussed updating the current form to be more specific with the amount of time in between feedings. Make classroom observations to ensure that feeding schedules are being followed and documented. Additional Comments: North Carolina Child Care Health and Safety Resource Center: https://healthychildcare.unc.edu/ The NC Resource Center’s mission is to promote healthy and safe indoor and outdoor environments in early care and education settings through child care health consultation. This website contains many helpful resources including the Communicable Diseases and Exclusion Chart. Craven Smart Start is also able to provide you with resources and information, training opportunities, and technical assistance on childcare issues. Their phone number is (252) 636- 3198 or check out their website at www.cravensmartstart.org. At the completion of the visit, this Visit Summary was printed, reviewed, and a copy was left with you. Contact me at Brittany Jones, Child Care Consultant, (252) 947-1036, Brittany.j.jones@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, (252) 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. 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: Childcare Network #77 Facility ID: 25000630 Consultant: BRITTANY JONES Operation Type: Center Case Number: 0825-112L Visit Date: 9/17/2025 Number Present: 35 Completed Date: 9/17/2025 Age: From 0 To 5 Total Minutes: 183 Time In: 09:17 AM Time Out: 12:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Follow-Up Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. The allegations are as follows: 1. There is a concern that children were not adequately supervised. 2. There is a concern that children were not cared for in a nurturing and caring manner. 3. There is a concern that staff/child ratios were not being followed. 4. There is a concern that safe sleep practices were not followed. 5. There is a concern that documentation was not provided when a child was injured in care. 6. There is a concern that children are not being changed when soiled. 7. There is a concern that children are not being fed according to the feeding schedule. A. Lawrence, Administrator, assisted me with today's visit. Staff/child ratio, group size, supervision, use of licensed space, space capacity, and license restrictions were monitored. Children throughout the center were engaged in free play in activity centers, personal care routines, and transitions. Toddlers were being read a book on the carpet. Infants were playing on the carpet and having tummy time. Preschoolers were writing their names, building with blocks, and completing puzzles. Regarding the allegation that children were not adequately supervised, I observed all classroom spaces and interviewed staff members and administrators today and on August 22, 2025. Classrooms transitioned to and from outdoor spaces and the bathrooms located in the hallways and teachers were positioned so that they could see and hear the children at all times. I observed staff members request assistance via walkie talkies and assistance was rendered in a timely fashion. The administrator assisted classrooms with the transition to and from the outdoor space by completing a head count as the children walked in or out of the door. Adequate supervision was maintained. Based on the classroom observations and staff interviews, the allegation was unconfirmed. Based on the information provided, there is a concern that staff did not interact in a nurturing and caring manner while in the presence of children. The administrator and staff members were interviewed, and classroom observations were conducted today and on August 22, 2025. Interactions between children and staff members were observed. Teachers engaged in conversation and redirected children using soft tones with positive reinforcement. Staff members worked together to care for the children and used positive verbal interactions. It was reported that staff have been working on team building and it has created a better atmosphere in the center. Based on observations and information received from interviewed staff, the allegation is unconfirmed. Regarding the allegation that staff/child ratios were not being followed, I reviewed attendance records, arrival and departure times for each child and staff member and interviewed staff regarding their schedules. I also monitored each classroom space today and on August 22, 2025. Upon review of attendance records and staff timesheet records documenting work times, I found that staff/child ratios were maintained. Staff/child ratios were maintained at all times during my classroom observations. It was reported that staff child ratios are maintained throughout the day and that children are not accepted to the center if there are not enough staff members to maintain ratio. I observed classrooms using a transition sheet to document when a child is added from another classroom to the attendance sheet to ensure that ratios are maintained. Based on the above information, the allegation is unconfirmed. Regarding the allegation that safe sleep practices were not followed, I observed space #2 and reviewed safe sleep charts. I also interviewed the administrator and caregivers. I observed sleep sacks that the children wear at nap time and found that they are not swaddlers. Upon entering the room at 12:20pm on August 22, 2025, two infants were sleeping, and their sleep charts had not been completed since 11:30am. It was reported that the staff member in charge was busy feeding children lunch during that time. Based on the safe sleep documentation, the allegation is confirmed. Regarding the allegation that documentation was not provided when a child was injured in care, I reviewed incident reports and the incident log. I also interviewed staff members and the administrator. Upon reviewing the incident log and incident reports for the months of May through July, I found that seven incidents had not been documented on the incident log, two incident reports had not been signed by a parent, and one incident report was not completed. Based on the reviewed incident reports and incident log, the allegation is confirmed. Regarding the allegation that diapers were not being changed when soiled, I reviewed the times that diapers were changed and the times of arrival and departure. I also interviewed staff members about the diapering procedure. Upon review of the times that children were changed and the times that they were sleeping on sleep charts for seven children during the dates of 7/30/25- 8/8/25, I found that in six of the children’s records that they were not changed between two and a half hours to five hours and forty minutes. Based on the above information, the allegation is confirmed. Regarding the allegation that children are not being fed according to the feeding schedule, I reviewed infant feeding schedules and the documented feeding times. I also interviewed staff members. A child’s feeding schedule and daily report including feeding times were reviewed for August 5, 2025, and found that the child was fed breakfast at 8:41am and was not documented to have been fed lunch before the child was checked out at 1:35pm. The child was in care for 5 hours and 45 minutes and received one meal. Based on the above information, the allegation is confirmed. The following violations were documented. Violation Number Comment Rule 401 Diapers were not changed whenever they were soiled or wet and/or were changed on a shift basis. Documented diaper change times and sleep charts were reviewed for seven (7) children during the dates of 7/30/25-8/8/25. In six (6) of the (7) children’s records, it was found that diaper changing times were documented with lapses of between two and a half hours and five hours and forty minutes. 10A NCAC 09 .0806(a) 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) An infant’s feeding schedule reflected that the child should be fed lunch at 12pm. On August 5, 2025, there was no documentation that the child was fed lunch according to the child’s daily report. 10A NCAC 09 .0902(a) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. Incident reports were reviewed for the months of May, June, and July of 2025 and two (2) incident reports had not been signed by a parent, and one (1) incident report was not completed with the time and date of the incident. .0802 (e) 853 Incident logs were not completed and maintained as required. The incident log for the months of May, June, and July of 2025 was reviewed, and seven (7) incidents had not been documented. .0802(g)(1-6) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. On August 22, 2025, I entered space #2 at12:20pm and two (2) infants were sleeping, and their sleep charts had not been completed since 11:30am. .0606(g) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 10/1/2025, 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 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: Brittany Jones, Child Care Consultant PO Box 3272 New Bern, NC 28564 Brittany.j.jones@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with 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 with Documented Violations: Safe Sleep Practices: Maintaining a safe sleep environment and equipment and following safe sleep practices in early care and education programs are important to keep infants safe. Maintaining accurate documentation at the child care center is important in determining compliance with the child care rules and to ensure the health and safety of each child. Infant sleep charts allow teachers to document visually checking sleeping infants every 15 minutes. They note the infant’s sleep position, skin color, breathing, level of sleep, and body temperature. This needs to be documented every time a child is sleeping in your care. Upon entering the room at 12:20pm on August 22, 2025, two infants were sleeping, and their sleep charts had not been completed since 11:30am. The teacher reported that she was busy feeding infants and getting them ready for nap time. We discussed that that documentation needs to be done every time the children are asleep and to notate the time that they are laid down in the crib or time that they fall asleep immediately. We discussed using the dry erase board to document when children are last fed, changed, and fell asleep will be a visual for all staff members to be able to see and update even if they are only in the room to cover a bathroom or lunch break and I observed it being used during today’s visit. Also during today’s visit, I observed that the center is now using the safe sleep charts found in the provider documents. You stated that these charts are easier to use and can allow the teacher to notate specific sleep times. Ensure that staff members can easily access sleep charts to document when a child falls asleep and every 15 minutes until they wake up and review them during classroom observations. Incident Reports: An incident report should be completed and logged each time a child is injured, regardless of whether medical care is needed. It is helpful to remember the “three B’s”: bumps, bruises, and blood, as a reminder of when to complete incident reports. The incident report should specify what happened to cause the injury and then by reviewed with the parent before the parent signs the report. The incident log and incident reports for the months of May through July were reviewed and I found that seven incidents had not been documented on the incident log, two incident reports had not been signed by a parent, and one incident report was not completed with the time and date of the incident. You stated that the sometimes teachers do not turn in incident reports at the end of the day so they are unable to be logged immediately. You stated that you had a staff meeting on July 29, 2025 to discuss completing incident reports and the process of having them signed and turned in to the office to be logged. Review incident logs when they are turned in to ensure that they are being filled out correctly, signed, and logged. Diapering: Diapers should be checked for wetness and feces at least hourly, visually inspected at least every two hours, and whenever the child indicates discomfort or exhibits behavior that suggests a soiled or wet diaper. Diapers should be changed when they are found to be wet or soiled. It can be helpful to document when diapers are changed, as a visual to see when diapers should be changed next. Upon review of the times that children were changed and the times that they were sleeping on sleep charts for seven children during the dates of 7/30/25- 8/8/25, I found that in six of the children’s records that they were not changed between two and a half hours to five hours and forty minutes. You stated that diaper changes are documented in the digital daily report that is sent to parents at the end of each day and the diaper changes occur every hour and a half. During today’s visit, I observed that classrooms with changing tables are now using a paper diaper change history form to notate diaper change times immediately and then can be uploaded into the tablet during nap time. Some classrooms also have dry erase boards beside the bathroom to notate diaper change times. We discussed that children do not need to be woken to change their diaper, but they need to be changed or checked immediately after they wake if two hours has passed. You stated that you have spoken to staff members to reiterate the importance of checking diapers before they lay down for nap and changing diapers immediately after nap time. You also stated that staff members have been reminded to ask for assistance during diaper changes to ensure supervision is maintained. Make classroom observations to ensure teachers are completing diaper changes at least every two hours when they are awake and that the times are documented. Feeding Schedules: Growth and development during infancy require that nourishing, wholesome, and developmentally appropriate food be provided, using safe approaches to feeding. All children under 15 months of age must have a signed feeding schedule/plan on file. The infant feeding plans should be developed with each infant’s parents/guardians and, when appropriate, in collaboration with the child’s primary care provider. A child’s feeding schedule and daily report including feeding times were reviewed for August 5, 2025, and found that the child was fed breakfast at 8:41am and was not documented to have been fed lunch before the child was checked out at 1:35pm. The child was in care for 5 hours and 45 minutes and received one meal. You stated the child was drinking a bottle at the time of pick up, but it was not documented. We discussed that infants must be fed according to the feeding plan which stated that the child should have eaten lunch at 12pm. We reviewed the feeding plan on the provider documents and discussed updating the current form to be more specific with the amount of time in between feedings. Make classroom observations to ensure that feeding schedules are being followed and documented. Additional Comments: North Carolina Child Care Health and Safety Resource Center: https://healthychildcare.unc.edu/ The NC Resource Center’s mission is to promote healthy and safe indoor and outdoor environments in early care and education settings through child care health consultation. This website contains many helpful resources including the Communicable Diseases and Exclusion Chart. Craven Smart Start is also able to provide you with resources and information, training opportunities, and technical assistance on childcare issues. Their phone number is (252) 636- 3198 or check out their website at www.cravensmartstart.org. At the completion of the visit, this Visit Summary was printed, reviewed, and a copy was left with you. Contact me at Brittany Jones, Child Care Consultant, (252) 947-1036, Brittany.j.jones@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, (252) 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1003 · Violation

Name of Operation: Childcare Network #77 Facility ID: 25000630 Consultant: BRITTANY JONES Operation Type: Center Case Number: Visit Date: 5/19/2025 Number Present: 33 Completed Date: 5/19/2025 Age: From 0 To 5 Total Minutes: 275 Time In: 09:55 AM Time Out: 02:30 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 your program for compliance with applicable child care requirements for an annual compliance visit, including compliance with requirements located in Child Care Rule Section .3000 in spaces #7, where children participating in the NC Pre-K program are cared for. A. Lawrence, Director, assisted me with the visit. Your program currently operates with a five-star license, issued 7/29/24, earning 6 points in the education component, 6 points in the program standards component and 1 quality point for having staff benefits package and infrastructure of parental involvement. The last annual compliance visit was conducted 6/6/25. The sanitation inspection was completed 3/17/25 with a “Superior” classification. The last fire inspection was conducted on 5/9/24. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty five percent as of 5/13/25. The NC Secretary of State website was reviewed on 5/13/25 and Child Development Schools North Carolina, LLC was listed as current- active. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website and all information is current. Contact me if you need to make any changes to your contact information, e.g., phone numbers, mailing address. You visited each indoor and outdoor space with me. Children throughout the center were engaged in free play in activity centers, personal care routines, and transitions. In space #1, young toddlers were playing on the carpet with toys. Preschoolers were observed in the outdoor space climbing on the stationary climbers and drinking water under the shade structure. The outdoor spaces were observed to have stationary clumbers, tunnels, riding toys, and balls for the children to engage in gross motor activities. The NC Pre-K requirements in section .3000 of the child care rules were monitored for compliance. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. A selection of files was monitored for completed health assessments and developmental screenings. You stated you were in the process of completing the Dial 4 screenings. The center uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress. The checkpoint assessments are conducted three times per year: at the beginning, middle and end of the school year. Lunch was observed and consisted of whole grain cheese pizza, green beans, pineapples, bread, and milk. The following violations were documented. Violation Number Comment Rule 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. A staff member hired on 6/11/2004 had certification of First Aid that expired 3/25 and was not renewed until 5/13/25. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. A staff member hired on 6/11/2004 had certification of CPR that expired 3/25 and was not renewed until 5/13/25. .1102(d) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. Fifteen (15) school age children that are transported did not have a photograph attached to their emergency information. 10A NCAC 09 .1003(d) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch under the stationary climber in outdoor space #3 measured two (2) inches rather than the required six (6) inches of mulch. .0605(k)(1-4) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 6/2/25, 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 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: Brittany Jones, Child Care Consultant PO Box 3272 New Bern, NC 28564 Brittany.j.jones@dhhs.nc.gov 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 with Documented Violations: CPR/First Aid: Knowing what to do in an emergency medical situation can mean the difference between life or death. Being trained in CPR and first aid can be invaluable when someone is in serious medical distress. Therefore, it is so important that all staff working directly with children have current CPR and First Aid Certification. A staff member hired on 6/11/2004 had certification of CPR and First Aid that expired 3/25 and was not renewed until 5/13/25. You stated that the staff member had technology complications that caused them to not take a training that was scheduled before the certification expired. We discussed that it would be helpful to add upcoming expiration dates of certificates in a digital calendar that will send reminders. You shared with me that you have a spreadsheet with all due dates of certificates that is color coordinated specifically to when certificates are due. Ensure that you schedule trainings well in advance so that staff members have time to complete them before certifications expire. Surfacing: Nationally, nearly 70% of playground related injuries are from falls. Fall injuries are the result of two things: 1) The height a child falls from and 2) The material/surface the child falls upon. Provide “soft” resilient surfacing under and around stationary playground equipment. The mulch under the stationary climber in outdoor space #3 measured two (2) inches rather than the required six (6) inches of mulch. You stated that you have already put in a work order to have additional mulch added. We discussed that seeing grass grow through the mulch is a sign that the mulch is not deep enough. Check the mulch levels each month when conducting playground inspections to ensure that it is deep enough and rake the mulch to keep it fluffed. Transportation: Motor vehicle crashes are the leading cause of death in children two to fourteen years of age in the United States. It is necessary for the safety of children to require that the caregiver/teacher comply with requirements governing the transportation of children in care, in the absence of the parent/guardian. Each child transported must have on file emergency contact information along with a photograph of each child. This is helpful in identifying children in the event of an emergency/accident. Fifteen (15) school age children that are transported did not have a photograph attached to their emergency information. You stated that some of the children’s photographs had been removed when a staff member wanted to change the transportation binder. During the visit you printed the missing photos and added them to their emergency information. Update emergency information and photographs each time you add or remove children on the roster. Additional Comments: Take the next steps to identify and eliminate exposure to lead and asbestos hazards in your facility! Check your program’s status in the Clean Classrooms for Carolina Kids™ Facility Data Mapper to determine next steps: 1. Enroll in all three sections of the program - lead in water, lead-based paint, and asbestos. 2. View available results on your dashboard or on the facility data mapper. 3. List any mitigation actions taken at your facility from your dashboard. Remember, NC public school and child care facilities are required to meet rule requirements (NC 10A NCAC 41C.1001-1007, NC 154A NCAC 18A.2816). Clean Classrooms for Carolina Kids™ is designed to ensure facilities meet all requirements, receive direct support throughout the participation process, and have access to communication resources. This program is free, covers testing, inspections, and mitigation, and is intended to improve child-occupied facilities across North Carolina. Natural Learning Initiative: https://naturalearning.org/resources/ Resources are created, often in collaboration with the Natural Learning Initiative’s interdisciplinary partners, to support technical assistance, professional development, and generally to promote the importance of the natural environment in the daily experience of all children. Please use and share. North Carolina Rated License Assessment Project: NCRLAP’s mission is to promote the quality of child care by consistently and reliably assessing environments for the North Carolina Star Rated License. We collaborate with professionals in the early childhood education field to foster the development and learning of young children. The website ncrlap.org offers resources, trainings, videos, worksheets, and getting ready for ITERS-3 and ECERS-3. Craven Smart Start is also able to provide you with resources and information, training opportunities, and technical assistance on childcare issues. Their phone number is (252) 636- 3198 or check out their website at www.cravensmartstart.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Brittany Jones, Child Care Consultant, (252) 947-1036, Brittany.j.jones@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, (252) 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. 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 .3009 · Violation

Name of Operation: Childcare Network #77 Facility ID: 25000630 Consultant: BRITTANY JONES Operation Type: Center Case Number: Visit Date: 5/19/2025 Number Present: 33 Completed Date: 5/19/2025 Age: From 0 To 5 Total Minutes: 275 Time In: 09:55 AM Time Out: 02:30 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 your program for compliance with applicable child care requirements for an annual compliance visit, including compliance with requirements located in Child Care Rule Section .3000 in spaces #7, where children participating in the NC Pre-K program are cared for. A. Lawrence, Director, assisted me with the visit. Your program currently operates with a five-star license, issued 7/29/24, earning 6 points in the education component, 6 points in the program standards component and 1 quality point for having staff benefits package and infrastructure of parental involvement. The last annual compliance visit was conducted 6/6/25. The sanitation inspection was completed 3/17/25 with a “Superior” classification. The last fire inspection was conducted on 5/9/24. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty five percent as of 5/13/25. The NC Secretary of State website was reviewed on 5/13/25 and Child Development Schools North Carolina, LLC was listed as current- active. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website and all information is current. Contact me if you need to make any changes to your contact information, e.g., phone numbers, mailing address. You visited each indoor and outdoor space with me. Children throughout the center were engaged in free play in activity centers, personal care routines, and transitions. In space #1, young toddlers were playing on the carpet with toys. Preschoolers were observed in the outdoor space climbing on the stationary climbers and drinking water under the shade structure. The outdoor spaces were observed to have stationary clumbers, tunnels, riding toys, and balls for the children to engage in gross motor activities. The NC Pre-K requirements in section .3000 of the child care rules were monitored for compliance. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. A selection of files was monitored for completed health assessments and developmental screenings. You stated you were in the process of completing the Dial 4 screenings. The center uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress. The checkpoint assessments are conducted three times per year: at the beginning, middle and end of the school year. Lunch was observed and consisted of whole grain cheese pizza, green beans, pineapples, bread, and milk. The following violations were documented. Violation Number Comment Rule 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. A staff member hired on 6/11/2004 had certification of First Aid that expired 3/25 and was not renewed until 5/13/25. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. A staff member hired on 6/11/2004 had certification of CPR that expired 3/25 and was not renewed until 5/13/25. .1102(d) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. Fifteen (15) school age children that are transported did not have a photograph attached to their emergency information. 10A NCAC 09 .1003(d) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch under the stationary climber in outdoor space #3 measured two (2) inches rather than the required six (6) inches of mulch. .0605(k)(1-4) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 6/2/25, 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 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: Brittany Jones, Child Care Consultant PO Box 3272 New Bern, NC 28564 Brittany.j.jones@dhhs.nc.gov 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 with Documented Violations: CPR/First Aid: Knowing what to do in an emergency medical situation can mean the difference between life or death. Being trained in CPR and first aid can be invaluable when someone is in serious medical distress. Therefore, it is so important that all staff working directly with children have current CPR and First Aid Certification. A staff member hired on 6/11/2004 had certification of CPR and First Aid that expired 3/25 and was not renewed until 5/13/25. You stated that the staff member had technology complications that caused them to not take a training that was scheduled before the certification expired. We discussed that it would be helpful to add upcoming expiration dates of certificates in a digital calendar that will send reminders. You shared with me that you have a spreadsheet with all due dates of certificates that is color coordinated specifically to when certificates are due. Ensure that you schedule trainings well in advance so that staff members have time to complete them before certifications expire. Surfacing: Nationally, nearly 70% of playground related injuries are from falls. Fall injuries are the result of two things: 1) The height a child falls from and 2) The material/surface the child falls upon. Provide “soft” resilient surfacing under and around stationary playground equipment. The mulch under the stationary climber in outdoor space #3 measured two (2) inches rather than the required six (6) inches of mulch. You stated that you have already put in a work order to have additional mulch added. We discussed that seeing grass grow through the mulch is a sign that the mulch is not deep enough. Check the mulch levels each month when conducting playground inspections to ensure that it is deep enough and rake the mulch to keep it fluffed. Transportation: Motor vehicle crashes are the leading cause of death in children two to fourteen years of age in the United States. It is necessary for the safety of children to require that the caregiver/teacher comply with requirements governing the transportation of children in care, in the absence of the parent/guardian. Each child transported must have on file emergency contact information along with a photograph of each child. This is helpful in identifying children in the event of an emergency/accident. Fifteen (15) school age children that are transported did not have a photograph attached to their emergency information. You stated that some of the children’s photographs had been removed when a staff member wanted to change the transportation binder. During the visit you printed the missing photos and added them to their emergency information. Update emergency information and photographs each time you add or remove children on the roster. Additional Comments: Take the next steps to identify and eliminate exposure to lead and asbestos hazards in your facility! Check your program’s status in the Clean Classrooms for Carolina Kids™ Facility Data Mapper to determine next steps: 1. Enroll in all three sections of the program - lead in water, lead-based paint, and asbestos. 2. View available results on your dashboard or on the facility data mapper. 3. List any mitigation actions taken at your facility from your dashboard. Remember, NC public school and child care facilities are required to meet rule requirements (NC 10A NCAC 41C.1001-1007, NC 154A NCAC 18A.2816). Clean Classrooms for Carolina Kids™ is designed to ensure facilities meet all requirements, receive direct support throughout the participation process, and have access to communication resources. This program is free, covers testing, inspections, and mitigation, and is intended to improve child-occupied facilities across North Carolina. Natural Learning Initiative: https://naturalearning.org/resources/ Resources are created, often in collaboration with the Natural Learning Initiative’s interdisciplinary partners, to support technical assistance, professional development, and generally to promote the importance of the natural environment in the daily experience of all children. Please use and share. North Carolina Rated License Assessment Project: NCRLAP’s mission is to promote the quality of child care by consistently and reliably assessing environments for the North Carolina Star Rated License. We collaborate with professionals in the early childhood education field to foster the development and learning of young children. The website ncrlap.org offers resources, trainings, videos, worksheets, and getting ready for ITERS-3 and ECERS-3. Craven Smart Start is also able to provide you with resources and information, training opportunities, and technical assistance on childcare issues. Their phone number is (252) 636- 3198 or check out their website at www.cravensmartstart.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Brittany Jones, Child Care Consultant, (252) 947-1036, Brittany.j.jones@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, (252) 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. 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: Childcare Network #77 Facility ID: 25000630 Consultant: BRITTANY JONES Operation Type: Center Case Number: Visit Date: 5/19/2025 Number Present: 33 Completed Date: 5/19/2025 Age: From 0 To 5 Total Minutes: 275 Time In: 09:55 AM Time Out: 02:30 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 your program for compliance with applicable child care requirements for an annual compliance visit, including compliance with requirements located in Child Care Rule Section .3000 in spaces #7, where children participating in the NC Pre-K program are cared for. A. Lawrence, Director, assisted me with the visit. Your program currently operates with a five-star license, issued 7/29/24, earning 6 points in the education component, 6 points in the program standards component and 1 quality point for having staff benefits package and infrastructure of parental involvement. The last annual compliance visit was conducted 6/6/25. The sanitation inspection was completed 3/17/25 with a “Superior” classification. The last fire inspection was conducted on 5/9/24. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty five percent as of 5/13/25. The NC Secretary of State website was reviewed on 5/13/25 and Child Development Schools North Carolina, LLC was listed as current- active. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website and all information is current. Contact me if you need to make any changes to your contact information, e.g., phone numbers, mailing address. You visited each indoor and outdoor space with me. Children throughout the center were engaged in free play in activity centers, personal care routines, and transitions. In space #1, young toddlers were playing on the carpet with toys. Preschoolers were observed in the outdoor space climbing on the stationary climbers and drinking water under the shade structure. The outdoor spaces were observed to have stationary clumbers, tunnels, riding toys, and balls for the children to engage in gross motor activities. The NC Pre-K requirements in section .3000 of the child care rules were monitored for compliance. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. A selection of files was monitored for completed health assessments and developmental screenings. You stated you were in the process of completing the Dial 4 screenings. The center uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress. The checkpoint assessments are conducted three times per year: at the beginning, middle and end of the school year. Lunch was observed and consisted of whole grain cheese pizza, green beans, pineapples, bread, and milk. The following violations were documented. Violation Number Comment Rule 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. A staff member hired on 6/11/2004 had certification of First Aid that expired 3/25 and was not renewed until 5/13/25. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. A staff member hired on 6/11/2004 had certification of CPR that expired 3/25 and was not renewed until 5/13/25. .1102(d) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. Fifteen (15) school age children that are transported did not have a photograph attached to their emergency information. 10A NCAC 09 .1003(d) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch under the stationary climber in outdoor space #3 measured two (2) inches rather than the required six (6) inches of mulch. .0605(k)(1-4) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 6/2/25, 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 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: Brittany Jones, Child Care Consultant PO Box 3272 New Bern, NC 28564 Brittany.j.jones@dhhs.nc.gov 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 with Documented Violations: CPR/First Aid: Knowing what to do in an emergency medical situation can mean the difference between life or death. Being trained in CPR and first aid can be invaluable when someone is in serious medical distress. Therefore, it is so important that all staff working directly with children have current CPR and First Aid Certification. A staff member hired on 6/11/2004 had certification of CPR and First Aid that expired 3/25 and was not renewed until 5/13/25. You stated that the staff member had technology complications that caused them to not take a training that was scheduled before the certification expired. We discussed that it would be helpful to add upcoming expiration dates of certificates in a digital calendar that will send reminders. You shared with me that you have a spreadsheet with all due dates of certificates that is color coordinated specifically to when certificates are due. Ensure that you schedule trainings well in advance so that staff members have time to complete them before certifications expire. Surfacing: Nationally, nearly 70% of playground related injuries are from falls. Fall injuries are the result of two things: 1) The height a child falls from and 2) The material/surface the child falls upon. Provide “soft” resilient surfacing under and around stationary playground equipment. The mulch under the stationary climber in outdoor space #3 measured two (2) inches rather than the required six (6) inches of mulch. You stated that you have already put in a work order to have additional mulch added. We discussed that seeing grass grow through the mulch is a sign that the mulch is not deep enough. Check the mulch levels each month when conducting playground inspections to ensure that it is deep enough and rake the mulch to keep it fluffed. Transportation: Motor vehicle crashes are the leading cause of death in children two to fourteen years of age in the United States. It is necessary for the safety of children to require that the caregiver/teacher comply with requirements governing the transportation of children in care, in the absence of the parent/guardian. Each child transported must have on file emergency contact information along with a photograph of each child. This is helpful in identifying children in the event of an emergency/accident. Fifteen (15) school age children that are transported did not have a photograph attached to their emergency information. You stated that some of the children’s photographs had been removed when a staff member wanted to change the transportation binder. During the visit you printed the missing photos and added them to their emergency information. Update emergency information and photographs each time you add or remove children on the roster. Additional Comments: Take the next steps to identify and eliminate exposure to lead and asbestos hazards in your facility! Check your program’s status in the Clean Classrooms for Carolina Kids™ Facility Data Mapper to determine next steps: 1. Enroll in all three sections of the program - lead in water, lead-based paint, and asbestos. 2. View available results on your dashboard or on the facility data mapper. 3. List any mitigation actions taken at your facility from your dashboard. Remember, NC public school and child care facilities are required to meet rule requirements (NC 10A NCAC 41C.1001-1007, NC 154A NCAC 18A.2816). Clean Classrooms for Carolina Kids™ is designed to ensure facilities meet all requirements, receive direct support throughout the participation process, and have access to communication resources. This program is free, covers testing, inspections, and mitigation, and is intended to improve child-occupied facilities across North Carolina. Natural Learning Initiative: https://naturalearning.org/resources/ Resources are created, often in collaboration with the Natural Learning Initiative’s interdisciplinary partners, to support technical assistance, professional development, and generally to promote the importance of the natural environment in the daily experience of all children. Please use and share. North Carolina Rated License Assessment Project: NCRLAP’s mission is to promote the quality of child care by consistently and reliably assessing environments for the North Carolina Star Rated License. We collaborate with professionals in the early childhood education field to foster the development and learning of young children. The website ncrlap.org offers resources, trainings, videos, worksheets, and getting ready for ITERS-3 and ECERS-3. Craven Smart Start is also able to provide you with resources and information, training opportunities, and technical assistance on childcare issues. Their phone number is (252) 636- 3198 or check out their website at www.cravensmartstart.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Brittany Jones, Child Care Consultant, (252) 947-1036, Brittany.j.jones@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, (252) 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. 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: Childcare Network #77 Facility ID: 25000630 Consultant: BRITTANY JONES Operation Type: Center Case Number: Visit Date: 11/25/2024 Number Present: 60 Completed Date: 11/25/2024 Age: From 0 To 5 Total Minutes: 235 Time In: 09:50 AM Time Out: 01:45 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 a routine unannounced visit. A. Lawrence, Administrator, assisted me with today’s visit. Your program currently operates with a five-star license, issued 7/29/24, earning 6 points in the education component, 6 points in the program standards component and 1 quality point for having a staff benefits package and infrastructure of parental involvement. The last annual compliance visit was conducted 6/6/24. The sanitation inspection was completed on 5/22/24 with a “Superior” classification. The last fire inspection was conducted 3/4/24. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty percent as of 11/12/24. The NC Secretary of State website was reviewed on 11/12/24 and Child Development Schools North Carolina, LLC was listed as current- active. You visited all indoor and outdoor spaces with me. I observed children in both the indoor and outdoor learning environments. Children throughout the facility were participating in free play in activity areas, transitions and personal care routines. Infants were engaged in tummy time, napping, and feeding routines. Toddlers were observed in the outdoor space climbing on the stationary climber and running races. Preschoolers transitioned to the indoor space to wash their hands before playing in activity centers. The outdoor spaces were observed to have stationary climbers, riding toys, tunnels, balls, and jump ropes to engage in gross motor activities. Lunch was observed and included breaded chicken patties, diced potatoes with cheese sauce, corn, whole wheat bread, and milk. The following violation(s) were documented. Violation Number Comment Rule 843 A drug or medicine was administered after its expiration date. In space #2, a tube of Beaudreaux’s Butt Paste was on file that expired 8/24. 10A NCAC 09 .0803(1)(d) 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 space #3 had a tube of Desitin Daily Defense was on file with written permission from the parent that expired 7/11/24. In space #3, a container of Publix 100% Petroleum Jelly Skin Protectant was on file with written permission from the parent that expires 10/13/24. .0803(12) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Technical Assistance with Violations: Medication: Medicines can be crucial to the health and wellness of children. They can also be very dangerous if the wrong type or wrong amount is given to the wrong person or at the wrong time. A medical action plan is required for children that need emergency medication, the form needs to be completed by the parent or a health care professional. All medications for children present at the center must have a current, completed medication permission form even if there is a Medical Action Plan. Medication permission forms are valid for a defined length of time and must be updated, if needed. In space #3 had a tube of Desitin Daily Defense was on file with written permission from the parent that expired 7/11/24. In space #3, a container of Publix 100% Petroleum Jelly Skin Protectant was on file with written permission from the parent that expires 10/13/24. In space #2, a tube of Beaudreau’s Butt Paste was on file that expired 8/24. You discarded the cream during the visit. We discussed that it would be helpful to write the expiration date of the medication and the expiration date of the written permission form on a log that the teachers can check each month. This will be a visual that is reviewed frequently and will remind you in advance of expiration dates. During the visit, you created a log for the medication and authorization expiration dates for the staff members to check monthly and ensure all dates are correct and placed in classrooms to correct the violations. Additional Comments: Natural Learning Initiative: https://naturalearning.org/resources/ Resources are created, often in collaboration with the Natural Learning Initiative’s interdisciplinary partners, to support technical assistance, professional development, and generally to promote the importance of the natural environment in the daily experience of all children. Please use and share. 2024 Annual License Fee Invoices: Keep an eye on your inbox for the 2024 annual license fee invoice. Invoices will be emailed to the facility addresses on file by November 30, 2024. Online payments will be due by December 31, 2024. In accordance with North Carolina General Statute § 110-90(1a), licensed child care facilities are assessed an annual license fee. The amount of your annual license fee is based on the licensed capacity printed on your license as of October 1, 2024, not the number of children enrolled at your facility. Please note that annual license fees do not apply to state or public school-operated child care facilities, or to religious-sponsored facilities operating under a Notice of Compliance. The Division of Child Development and Early Education remains available to assist you. For questions regarding license fees, visit the Frequently Asked Questions (FAQs) on our website. For further assistance regarding your annual license fee, please email DCDEE_LF@dhhs.nc.gov. Complete the Annual Immunization Report by 1/15/2025: The reporting period for child care immunizations is now open. Reporting for 2024-2025 has been extended due to Hurricane Helene. Children have a grace period from requirements until November 30, 2024, and reports will be accepted until January 15, 2025.Send any questions regarding child care immunization reporting to immunization.reports@dhhs.nc.gov. Craven Smart Start is also able to provide you with resources and information, training opportunities, technical assistance on childcare issues. Their phone number is (252) 636- 3198 or check out their website at www.cravensmartstart.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Brittany Jones, Child Care Consultant, (252) 947-1036, Brittany.j.jones@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, Jennifer.Linhardt@dhhs.nc.gov if you have questions. 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: Childcare Network #77 Facility ID: 25000630 Consultant: BRITTANY JONES Operation Type: Center Case Number: Visit Date: 11/25/2024 Number Present: 60 Completed Date: 11/25/2024 Age: From 0 To 5 Total Minutes: 235 Time In: 09:50 AM Time Out: 01:45 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 a routine unannounced visit. A. Lawrence, Administrator, assisted me with today’s visit. Your program currently operates with a five-star license, issued 7/29/24, earning 6 points in the education component, 6 points in the program standards component and 1 quality point for having a staff benefits package and infrastructure of parental involvement. The last annual compliance visit was conducted 6/6/24. The sanitation inspection was completed on 5/22/24 with a “Superior” classification. The last fire inspection was conducted 3/4/24. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty percent as of 11/12/24. The NC Secretary of State website was reviewed on 11/12/24 and Child Development Schools North Carolina, LLC was listed as current- active. You visited all indoor and outdoor spaces with me. I observed children in both the indoor and outdoor learning environments. Children throughout the facility were participating in free play in activity areas, transitions and personal care routines. Infants were engaged in tummy time, napping, and feeding routines. Toddlers were observed in the outdoor space climbing on the stationary climber and running races. Preschoolers transitioned to the indoor space to wash their hands before playing in activity centers. The outdoor spaces were observed to have stationary climbers, riding toys, tunnels, balls, and jump ropes to engage in gross motor activities. Lunch was observed and included breaded chicken patties, diced potatoes with cheese sauce, corn, whole wheat bread, and milk. The following violation(s) were documented. Violation Number Comment Rule 843 A drug or medicine was administered after its expiration date. In space #2, a tube of Beaudreaux’s Butt Paste was on file that expired 8/24. 10A NCAC 09 .0803(1)(d) 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 space #3 had a tube of Desitin Daily Defense was on file with written permission from the parent that expired 7/11/24. In space #3, a container of Publix 100% Petroleum Jelly Skin Protectant was on file with written permission from the parent that expires 10/13/24. .0803(12) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Technical Assistance with Violations: Medication: Medicines can be crucial to the health and wellness of children. They can also be very dangerous if the wrong type or wrong amount is given to the wrong person or at the wrong time. A medical action plan is required for children that need emergency medication, the form needs to be completed by the parent or a health care professional. All medications for children present at the center must have a current, completed medication permission form even if there is a Medical Action Plan. Medication permission forms are valid for a defined length of time and must be updated, if needed. In space #3 had a tube of Desitin Daily Defense was on file with written permission from the parent that expired 7/11/24. In space #3, a container of Publix 100% Petroleum Jelly Skin Protectant was on file with written permission from the parent that expires 10/13/24. In space #2, a tube of Beaudreau’s Butt Paste was on file that expired 8/24. You discarded the cream during the visit. We discussed that it would be helpful to write the expiration date of the medication and the expiration date of the written permission form on a log that the teachers can check each month. This will be a visual that is reviewed frequently and will remind you in advance of expiration dates. During the visit, you created a log for the medication and authorization expiration dates for the staff members to check monthly and ensure all dates are correct and placed in classrooms to correct the violations. Additional Comments: Natural Learning Initiative: https://naturalearning.org/resources/ Resources are created, often in collaboration with the Natural Learning Initiative’s interdisciplinary partners, to support technical assistance, professional development, and generally to promote the importance of the natural environment in the daily experience of all children. Please use and share. 2024 Annual License Fee Invoices: Keep an eye on your inbox for the 2024 annual license fee invoice. Invoices will be emailed to the facility addresses on file by November 30, 2024. Online payments will be due by December 31, 2024. In accordance with North Carolina General Statute § 110-90(1a), licensed child care facilities are assessed an annual license fee. The amount of your annual license fee is based on the licensed capacity printed on your license as of October 1, 2024, not the number of children enrolled at your facility. Please note that annual license fees do not apply to state or public school-operated child care facilities, or to religious-sponsored facilities operating under a Notice of Compliance. The Division of Child Development and Early Education remains available to assist you. For questions regarding license fees, visit the Frequently Asked Questions (FAQs) on our website. For further assistance regarding your annual license fee, please email DCDEE_LF@dhhs.nc.gov. Complete the Annual Immunization Report by 1/15/2025: The reporting period for child care immunizations is now open. Reporting for 2024-2025 has been extended due to Hurricane Helene. Children have a grace period from requirements until November 30, 2024, and reports will be accepted until January 15, 2025.Send any questions regarding child care immunization reporting to immunization.reports@dhhs.nc.gov. Craven Smart Start is also able to provide you with resources and information, training opportunities, technical assistance on childcare issues. Their phone number is (252) 636- 3198 or check out their website at www.cravensmartstart.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Brittany Jones, Child Care Consultant, (252) 947-1036, Brittany.j.jones@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, Jennifer.Linhardt@dhhs.nc.gov if you have questions. 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 .0902 · Violation

Name of Operation: Childcare Network #77 Facility ID: 25000630 Consultant: LAKISHA SKINNER Operation Type: Center Case Number: Visit Date: 6/6/2024 Number Present: 71 Completed Date: 6/6/2024 Age: From 0 To 12 Total Minutes: 270 Time In: 09:00 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced * The purpose of today's visit was to monitor your program for compliance with all applicable child care requirements during the first temporary time period visit (TTP) since completing the change of ownership for the facility. L. Ervin, Administrator, assisted me with the visit. This facility was issued a temporary license on May 1, 2024 caring for no more than 140 children, ages 0 -12 years of age on first shift. This facility is owned by a limited liability corporation: Child Development Schools North Carolina, LLC. Per information reflected in the NC Secretary of State, your LLC is current and active. We also reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website. I left a copy of the Preservice for Child Care Administrator form for your agency to complete and return to me. Contact me anytime you need to make any changes to your contact information, e.g., phone numbers, mailing address. A sampling of classrooms, the outdoor learning environment, sampling of staff and child files, and other required program records were monitored. We completed rules review. The required posted information and materials were present in each classroom. Lunch included fish sticks, mixed vegetables, apple sauce, biscuits and milk. You provided a copy of the fire inspection completed on 3/4/24, and the sanitation inspection completed on 3/14/24. You provided a copy of water in lead testing results received on 11/7/23. You indicated you will provide the building inspection once it is received. The following violations were documented. 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). Written feeding plans in Space 1 were not available for enrolled children less than 15 months old. 10A NCAC 09 .0902(a) 542 The written feeding plan was not modified as the child's needs changed. Infant feeding plans were not posted in Space 2 and one infant feeding plan for the one-year-old did not include modifications in consultation with each child's parent or health care provider to reflect changes in the child's needs as he or she develops. 10 NCAC 09 .0902(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A bottle of White Out was stored in the plastic drawer of a storage container on top of a cubby in Space 4. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. A jar of petroleum jelly was observed in child’s storage container on the bottom shelf of a cubby In Space 3. A bottle of Ibuprofen was stored in an unlocked cabinet in Space 4. 15A NCAC 18A .2820(d) 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 2 (designated for the care of infants-one year old children) and Space 3 (designated for children two-three years-of-age) plastic bags used to store various items were kept on low-lying shelves. .0604(q) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. Visual checks for a child sleeping today were not available. .0606(g) 1123 All vehicles used to transport children were not free of hazards. The three buses used to transport children all had tires with tread depth measuring less than 2/32 inches deep. Additionally, the interior padding of some the bus seats was exposed. 10A NCAC 09 .1002(a) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. A jar of petroleum jelly observed in a child's cubby in Space 3 was not accompanied by parent permission to apply it to the child. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 9995 A violation was found for which there is no item number. A bottle of hand sanitizer stored on top of a cubby in Space 4, a tube of Sunrise Woods hand cream and a bottle of HempZ hand lotion was stored on a low shelf in an unlocked cabinet in Space 4. This is a violation of Sanitation Rule 15A NCAC 18A .2820 STORAGE (c) Hand antiseptics, and hand lotions shall be kept inaccessible to children when not in use but are not required to be in locked storage. * Child Care programs are expected to achieve and maintain compliance at all times. The violation(s) documented must be corrected immediately. On or before 6/20/24 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: Lakisha Skinner, Child Care Consultant PO BOX 431 Grimesland, NC 27837 Lakisha.Skinner@dhhs.nc.gov 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 Insert TECHNICAL ASSISTANCE WITH THE DOCUMENTED VIOLATION (S): Plastic Bags – Plastic bags have been recognized for many years as a suffocation hazard. The U.S. Consumer Product Safety Commission (CPSC) has received average annual reports of twenty-five deaths per year to children due to suffocation from plastic bags. In child care facilities, plastic bags must be made inaccessible to children less than three years of age. In Space 2 (designated for the care of infants) and Space 3 (designated for children two-three years-of-age) plastic bags used to store various items were kept on low-lying shelves. If the teachers are going to use the plastic bags, then these bags must be stored out of reach of the children, which is defined as five feet or higher from the finished floor. Medication – Intentional planning of the environment ensures a safe environment has been created which prevents and reduces injuries to young children. In space 3 (designated for the care of children ages 2-3 years old) a jar of petroleum jelly was observed in child’s storage container on the bottom shelf of a cubby. The teacher indicated with the hustle and bustle of parents dropping off children, she did not know the petroleum jelly was in the cubby. It is important to have conversations with parents as they drop of their children so you will be informed of such things, as well as complete a safety sweep of the classroom. Additionally, permission to apply the petroleum jelly was not on file. A bottle of Ibuprofen was stored in an unlocked cabinet in Space 4. You indicated you were unsure of why the cabinet was unlocked. Locked storage rooms and cabinets include those which are unlocked with a combination lock, electronic or magnetic device, keypad, key, or equivalent locking device. Keys and electronic or magnetic unlocking devices cannot be kept out of the reach of a child and must not be stored in the lock. You locked the cabinet and indicated you were unsure of why the cabinet was unlocked. Safe Sleep Practices - Safe sleep practices help reduce the risk of sudden unexpected infant deaths (SUIDs). Completing and documenting visual checks every 15 minutes is one important measure on keeping infants safe. Visual checks for a child sleeping today were not available. The teacher indicated a sleep chart was available but was unable to locate it. The information must reflect real time experiences and documented on the infant sleep chart. Although the cause of many sudden infant deaths may not be known, researchers believe that some infants develop in a manner that makes it challenging for them to be aroused or to breathe when they experience a life-threatening challenge during sleep. This is why child care rules require that an ITS-SIDS Policy be developed and always followed. Storage of Hazardous Items – There are over two million human poison exposures reported to poison centers every year. Children under six years of age account for over half of those potential poisonings. All children must be cared for in safe environments and protected from the risk of potentially dangerous products. A bottle of White Out was stored in the plastic drawer of a storage container on top of a cubby in Space 4. Because the warning label contains a Danger warning and other warnings it must be kept in locked storage. A tube of Sunrise Woods hand cream and a bottle of HempZ hand lotion was stored on a low shelf in an unlocked cabinet in Space 4. A child three years of age opened the unlocked cabinet and was looking through the cabinet. Additionally, a bottle of hand sanitizer was stored on top of a cubby in Space 4. Hand antiseptics, and hand lotions shall be kept inaccessible to children when not in use but are not required to be in locked storage. A product is considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. You locked the cabinet and indicated you were unsure of why the cabinet was unlocked. Transportation – Life gets busy and sometimes we’re more focused on where we’re going than how we’re getting there, the tread depth of your tires can be easy to overlook. But when it comes to tire maintenance, proper tread depth is one of the easiest ways to help maximize your safety. Three buses are used to transport children, all three of the buses have tires with tread depth less than 2/32 inches. You indicated a maintenance ordered had been placed prior to today’s visit and the tires were being replaced today. There are several popular ways to check your tire tread depth. One easy way is the penny test. Simply insert a penny into your tire's tread groove with Lincoln's head upside down and facing you. If you can see all of Lincoln's head, your tread depth is less than 2/32 inch and it's time to replace your tires. Additionally, the interior padding of some seating on the buses was exposed. You indicated this was also apart of the maintenance ticket submitted. Infant Feeding Plan - Growth and development during infancy require that nourishing, wholesome, and developmentally appropriate food be provided, using safe approaches to feeding. Individual written infant feeding plans regarding feeding needs and feeding schedule must be developed for each infant in consultation with the infant’s primary care provider and parents/guardians. Feeding plans in Space 1 were not available for enrolled children less than 15 months old. You indicated you were unaware feeding plans were required for children up to 15 months. Infant feeding plans were not posted in Space 2 and one infant feeding plan for the one-year-old did not include modifications in consultation with each child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant must include child's name, be signed by the parent or health care provider, and be dated when received by the center. It must also include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. We discussed the following: Child Care Subsidy - Child Care Centers with a Temporary License in good standing may be eligible for participation in the NC Child Care Subsidy System during their first 6 months of operation. Only programs with a 3 Star or higher license are eligible to continue to participate in the Subsidy System after the first 6 months of operation. Now is the time to begin making plans to obtain at least a 3 Star License by the expiration of your Temporary License if you intend to participate in the NC Subsidized Child Care System. Your temporary license expires November 1, 2024. Again, child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Additional Comments: Craven Smart Start is also able to provide you with resources and information, training opportunities, technical assistance on childcare issues. Their phone number is (252) 636- 3198 or check out their website at www.cravensmartstart.org. Child Care Health Consultants can provide training and technical assistance on topics related to health and safety such as sanitation, handwashing, diapering, illness policies, etc. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. Moodle Support – The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. Lead Based Paint & Asbestos - The Child Care Commission adopted childcare rule changes in January 2024. This is a legislatively mandated effort to address lead and asbestos hazards in licensed child care centers. Participation will allow facilities to meet all rule requirements for identified lead and asbestos hazards, as required by law. For information on how to enroll and complete testing please visit https://www.cleanwaterforuskids.org/en/carolina/. I emailed you a copy of each overview during the visit. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at (252) 820-5976, Lakisha.Skinner@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, (252) 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. 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 .1002 · Violation

Name of Operation: Childcare Network #77 Facility ID: 25000630 Consultant: LAKISHA SKINNER Operation Type: Center Case Number: Visit Date: 6/6/2024 Number Present: 71 Completed Date: 6/6/2024 Age: From 0 To 12 Total Minutes: 270 Time In: 09:00 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced * The purpose of today's visit was to monitor your program for compliance with all applicable child care requirements during the first temporary time period visit (TTP) since completing the change of ownership for the facility. L. Ervin, Administrator, assisted me with the visit. This facility was issued a temporary license on May 1, 2024 caring for no more than 140 children, ages 0 -12 years of age on first shift. This facility is owned by a limited liability corporation: Child Development Schools North Carolina, LLC. Per information reflected in the NC Secretary of State, your LLC is current and active. We also reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website. I left a copy of the Preservice for Child Care Administrator form for your agency to complete and return to me. Contact me anytime you need to make any changes to your contact information, e.g., phone numbers, mailing address. A sampling of classrooms, the outdoor learning environment, sampling of staff and child files, and other required program records were monitored. We completed rules review. The required posted information and materials were present in each classroom. Lunch included fish sticks, mixed vegetables, apple sauce, biscuits and milk. You provided a copy of the fire inspection completed on 3/4/24, and the sanitation inspection completed on 3/14/24. You provided a copy of water in lead testing results received on 11/7/23. You indicated you will provide the building inspection once it is received. The following violations were documented. 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). Written feeding plans in Space 1 were not available for enrolled children less than 15 months old. 10A NCAC 09 .0902(a) 542 The written feeding plan was not modified as the child's needs changed. Infant feeding plans were not posted in Space 2 and one infant feeding plan for the one-year-old did not include modifications in consultation with each child's parent or health care provider to reflect changes in the child's needs as he or she develops. 10 NCAC 09 .0902(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A bottle of White Out was stored in the plastic drawer of a storage container on top of a cubby in Space 4. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. A jar of petroleum jelly was observed in child’s storage container on the bottom shelf of a cubby In Space 3. A bottle of Ibuprofen was stored in an unlocked cabinet in Space 4. 15A NCAC 18A .2820(d) 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 2 (designated for the care of infants-one year old children) and Space 3 (designated for children two-three years-of-age) plastic bags used to store various items were kept on low-lying shelves. .0604(q) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. Visual checks for a child sleeping today were not available. .0606(g) 1123 All vehicles used to transport children were not free of hazards. The three buses used to transport children all had tires with tread depth measuring less than 2/32 inches deep. Additionally, the interior padding of some the bus seats was exposed. 10A NCAC 09 .1002(a) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. A jar of petroleum jelly observed in a child's cubby in Space 3 was not accompanied by parent permission to apply it to the child. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 9995 A violation was found for which there is no item number. A bottle of hand sanitizer stored on top of a cubby in Space 4, a tube of Sunrise Woods hand cream and a bottle of HempZ hand lotion was stored on a low shelf in an unlocked cabinet in Space 4. This is a violation of Sanitation Rule 15A NCAC 18A .2820 STORAGE (c) Hand antiseptics, and hand lotions shall be kept inaccessible to children when not in use but are not required to be in locked storage. * Child Care programs are expected to achieve and maintain compliance at all times. The violation(s) documented must be corrected immediately. On or before 6/20/24 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: Lakisha Skinner, Child Care Consultant PO BOX 431 Grimesland, NC 27837 Lakisha.Skinner@dhhs.nc.gov 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 Insert TECHNICAL ASSISTANCE WITH THE DOCUMENTED VIOLATION (S): Plastic Bags – Plastic bags have been recognized for many years as a suffocation hazard. The U.S. Consumer Product Safety Commission (CPSC) has received average annual reports of twenty-five deaths per year to children due to suffocation from plastic bags. In child care facilities, plastic bags must be made inaccessible to children less than three years of age. In Space 2 (designated for the care of infants) and Space 3 (designated for children two-three years-of-age) plastic bags used to store various items were kept on low-lying shelves. If the teachers are going to use the plastic bags, then these bags must be stored out of reach of the children, which is defined as five feet or higher from the finished floor. Medication – Intentional planning of the environment ensures a safe environment has been created which prevents and reduces injuries to young children. In space 3 (designated for the care of children ages 2-3 years old) a jar of petroleum jelly was observed in child’s storage container on the bottom shelf of a cubby. The teacher indicated with the hustle and bustle of parents dropping off children, she did not know the petroleum jelly was in the cubby. It is important to have conversations with parents as they drop of their children so you will be informed of such things, as well as complete a safety sweep of the classroom. Additionally, permission to apply the petroleum jelly was not on file. A bottle of Ibuprofen was stored in an unlocked cabinet in Space 4. You indicated you were unsure of why the cabinet was unlocked. Locked storage rooms and cabinets include those which are unlocked with a combination lock, electronic or magnetic device, keypad, key, or equivalent locking device. Keys and electronic or magnetic unlocking devices cannot be kept out of the reach of a child and must not be stored in the lock. You locked the cabinet and indicated you were unsure of why the cabinet was unlocked. Safe Sleep Practices - Safe sleep practices help reduce the risk of sudden unexpected infant deaths (SUIDs). Completing and documenting visual checks every 15 minutes is one important measure on keeping infants safe. Visual checks for a child sleeping today were not available. The teacher indicated a sleep chart was available but was unable to locate it. The information must reflect real time experiences and documented on the infant sleep chart. Although the cause of many sudden infant deaths may not be known, researchers believe that some infants develop in a manner that makes it challenging for them to be aroused or to breathe when they experience a life-threatening challenge during sleep. This is why child care rules require that an ITS-SIDS Policy be developed and always followed. Storage of Hazardous Items – There are over two million human poison exposures reported to poison centers every year. Children under six years of age account for over half of those potential poisonings. All children must be cared for in safe environments and protected from the risk of potentially dangerous products. A bottle of White Out was stored in the plastic drawer of a storage container on top of a cubby in Space 4. Because the warning label contains a Danger warning and other warnings it must be kept in locked storage. A tube of Sunrise Woods hand cream and a bottle of HempZ hand lotion was stored on a low shelf in an unlocked cabinet in Space 4. A child three years of age opened the unlocked cabinet and was looking through the cabinet. Additionally, a bottle of hand sanitizer was stored on top of a cubby in Space 4. Hand antiseptics, and hand lotions shall be kept inaccessible to children when not in use but are not required to be in locked storage. A product is considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. You locked the cabinet and indicated you were unsure of why the cabinet was unlocked. Transportation – Life gets busy and sometimes we’re more focused on where we’re going than how we’re getting there, the tread depth of your tires can be easy to overlook. But when it comes to tire maintenance, proper tread depth is one of the easiest ways to help maximize your safety. Three buses are used to transport children, all three of the buses have tires with tread depth less than 2/32 inches. You indicated a maintenance ordered had been placed prior to today’s visit and the tires were being replaced today. There are several popular ways to check your tire tread depth. One easy way is the penny test. Simply insert a penny into your tire's tread groove with Lincoln's head upside down and facing you. If you can see all of Lincoln's head, your tread depth is less than 2/32 inch and it's time to replace your tires. Additionally, the interior padding of some seating on the buses was exposed. You indicated this was also apart of the maintenance ticket submitted. Infant Feeding Plan - Growth and development during infancy require that nourishing, wholesome, and developmentally appropriate food be provided, using safe approaches to feeding. Individual written infant feeding plans regarding feeding needs and feeding schedule must be developed for each infant in consultation with the infant’s primary care provider and parents/guardians. Feeding plans in Space 1 were not available for enrolled children less than 15 months old. You indicated you were unaware feeding plans were required for children up to 15 months. Infant feeding plans were not posted in Space 2 and one infant feeding plan for the one-year-old did not include modifications in consultation with each child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant must include child's name, be signed by the parent or health care provider, and be dated when received by the center. It must also include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. We discussed the following: Child Care Subsidy - Child Care Centers with a Temporary License in good standing may be eligible for participation in the NC Child Care Subsidy System during their first 6 months of operation. Only programs with a 3 Star or higher license are eligible to continue to participate in the Subsidy System after the first 6 months of operation. Now is the time to begin making plans to obtain at least a 3 Star License by the expiration of your Temporary License if you intend to participate in the NC Subsidized Child Care System. Your temporary license expires November 1, 2024. Again, child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Additional Comments: Craven Smart Start is also able to provide you with resources and information, training opportunities, technical assistance on childcare issues. Their phone number is (252) 636- 3198 or check out their website at www.cravensmartstart.org. Child Care Health Consultants can provide training and technical assistance on topics related to health and safety such as sanitation, handwashing, diapering, illness policies, etc. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. Moodle Support – The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. Lead Based Paint & Asbestos - The Child Care Commission adopted childcare rule changes in January 2024. This is a legislatively mandated effort to address lead and asbestos hazards in licensed child care centers. Participation will allow facilities to meet all rule requirements for identified lead and asbestos hazards, as required by law. For information on how to enroll and complete testing please visit https://www.cleanwaterforuskids.org/en/carolina/. I emailed you a copy of each overview during the visit. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at (252) 820-5976, Lakisha.Skinner@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, (252) 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. 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: Childcare Network #77 Facility ID: 25000630 Consultant: LAKISHA SKINNER Operation Type: Center Case Number: Visit Date: 6/6/2024 Number Present: 71 Completed Date: 6/6/2024 Age: From 0 To 12 Total Minutes: 270 Time In: 09:00 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced * The purpose of today's visit was to monitor your program for compliance with all applicable child care requirements during the first temporary time period visit (TTP) since completing the change of ownership for the facility. L. Ervin, Administrator, assisted me with the visit. This facility was issued a temporary license on May 1, 2024 caring for no more than 140 children, ages 0 -12 years of age on first shift. This facility is owned by a limited liability corporation: Child Development Schools North Carolina, LLC. Per information reflected in the NC Secretary of State, your LLC is current and active. We also reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website. I left a copy of the Preservice for Child Care Administrator form for your agency to complete and return to me. Contact me anytime you need to make any changes to your contact information, e.g., phone numbers, mailing address. A sampling of classrooms, the outdoor learning environment, sampling of staff and child files, and other required program records were monitored. We completed rules review. The required posted information and materials were present in each classroom. Lunch included fish sticks, mixed vegetables, apple sauce, biscuits and milk. You provided a copy of the fire inspection completed on 3/4/24, and the sanitation inspection completed on 3/14/24. You provided a copy of water in lead testing results received on 11/7/23. You indicated you will provide the building inspection once it is received. The following violations were documented. 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). Written feeding plans in Space 1 were not available for enrolled children less than 15 months old. 10A NCAC 09 .0902(a) 542 The written feeding plan was not modified as the child's needs changed. Infant feeding plans were not posted in Space 2 and one infant feeding plan for the one-year-old did not include modifications in consultation with each child's parent or health care provider to reflect changes in the child's needs as he or she develops. 10 NCAC 09 .0902(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A bottle of White Out was stored in the plastic drawer of a storage container on top of a cubby in Space 4. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. A jar of petroleum jelly was observed in child’s storage container on the bottom shelf of a cubby In Space 3. A bottle of Ibuprofen was stored in an unlocked cabinet in Space 4. 15A NCAC 18A .2820(d) 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 2 (designated for the care of infants-one year old children) and Space 3 (designated for children two-three years-of-age) plastic bags used to store various items were kept on low-lying shelves. .0604(q) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. Visual checks for a child sleeping today were not available. .0606(g) 1123 All vehicles used to transport children were not free of hazards. The three buses used to transport children all had tires with tread depth measuring less than 2/32 inches deep. Additionally, the interior padding of some the bus seats was exposed. 10A NCAC 09 .1002(a) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. A jar of petroleum jelly observed in a child's cubby in Space 3 was not accompanied by parent permission to apply it to the child. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 9995 A violation was found for which there is no item number. A bottle of hand sanitizer stored on top of a cubby in Space 4, a tube of Sunrise Woods hand cream and a bottle of HempZ hand lotion was stored on a low shelf in an unlocked cabinet in Space 4. This is a violation of Sanitation Rule 15A NCAC 18A .2820 STORAGE (c) Hand antiseptics, and hand lotions shall be kept inaccessible to children when not in use but are not required to be in locked storage. * Child Care programs are expected to achieve and maintain compliance at all times. The violation(s) documented must be corrected immediately. On or before 6/20/24 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: Lakisha Skinner, Child Care Consultant PO BOX 431 Grimesland, NC 27837 Lakisha.Skinner@dhhs.nc.gov 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 Insert TECHNICAL ASSISTANCE WITH THE DOCUMENTED VIOLATION (S): Plastic Bags – Plastic bags have been recognized for many years as a suffocation hazard. The U.S. Consumer Product Safety Commission (CPSC) has received average annual reports of twenty-five deaths per year to children due to suffocation from plastic bags. In child care facilities, plastic bags must be made inaccessible to children less than three years of age. In Space 2 (designated for the care of infants) and Space 3 (designated for children two-three years-of-age) plastic bags used to store various items were kept on low-lying shelves. If the teachers are going to use the plastic bags, then these bags must be stored out of reach of the children, which is defined as five feet or higher from the finished floor. Medication – Intentional planning of the environment ensures a safe environment has been created which prevents and reduces injuries to young children. In space 3 (designated for the care of children ages 2-3 years old) a jar of petroleum jelly was observed in child’s storage container on the bottom shelf of a cubby. The teacher indicated with the hustle and bustle of parents dropping off children, she did not know the petroleum jelly was in the cubby. It is important to have conversations with parents as they drop of their children so you will be informed of such things, as well as complete a safety sweep of the classroom. Additionally, permission to apply the petroleum jelly was not on file. A bottle of Ibuprofen was stored in an unlocked cabinet in Space 4. You indicated you were unsure of why the cabinet was unlocked. Locked storage rooms and cabinets include those which are unlocked with a combination lock, electronic or magnetic device, keypad, key, or equivalent locking device. Keys and electronic or magnetic unlocking devices cannot be kept out of the reach of a child and must not be stored in the lock. You locked the cabinet and indicated you were unsure of why the cabinet was unlocked. Safe Sleep Practices - Safe sleep practices help reduce the risk of sudden unexpected infant deaths (SUIDs). Completing and documenting visual checks every 15 minutes is one important measure on keeping infants safe. Visual checks for a child sleeping today were not available. The teacher indicated a sleep chart was available but was unable to locate it. The information must reflect real time experiences and documented on the infant sleep chart. Although the cause of many sudden infant deaths may not be known, researchers believe that some infants develop in a manner that makes it challenging for them to be aroused or to breathe when they experience a life-threatening challenge during sleep. This is why child care rules require that an ITS-SIDS Policy be developed and always followed. Storage of Hazardous Items – There are over two million human poison exposures reported to poison centers every year. Children under six years of age account for over half of those potential poisonings. All children must be cared for in safe environments and protected from the risk of potentially dangerous products. A bottle of White Out was stored in the plastic drawer of a storage container on top of a cubby in Space 4. Because the warning label contains a Danger warning and other warnings it must be kept in locked storage. A tube of Sunrise Woods hand cream and a bottle of HempZ hand lotion was stored on a low shelf in an unlocked cabinet in Space 4. A child three years of age opened the unlocked cabinet and was looking through the cabinet. Additionally, a bottle of hand sanitizer was stored on top of a cubby in Space 4. Hand antiseptics, and hand lotions shall be kept inaccessible to children when not in use but are not required to be in locked storage. A product is considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. You locked the cabinet and indicated you were unsure of why the cabinet was unlocked. Transportation – Life gets busy and sometimes we’re more focused on where we’re going than how we’re getting there, the tread depth of your tires can be easy to overlook. But when it comes to tire maintenance, proper tread depth is one of the easiest ways to help maximize your safety. Three buses are used to transport children, all three of the buses have tires with tread depth less than 2/32 inches. You indicated a maintenance ordered had been placed prior to today’s visit and the tires were being replaced today. There are several popular ways to check your tire tread depth. One easy way is the penny test. Simply insert a penny into your tire's tread groove with Lincoln's head upside down and facing you. If you can see all of Lincoln's head, your tread depth is less than 2/32 inch and it's time to replace your tires. Additionally, the interior padding of some seating on the buses was exposed. You indicated this was also apart of the maintenance ticket submitted. Infant Feeding Plan - Growth and development during infancy require that nourishing, wholesome, and developmentally appropriate food be provided, using safe approaches to feeding. Individual written infant feeding plans regarding feeding needs and feeding schedule must be developed for each infant in consultation with the infant’s primary care provider and parents/guardians. Feeding plans in Space 1 were not available for enrolled children less than 15 months old. You indicated you were unaware feeding plans were required for children up to 15 months. Infant feeding plans were not posted in Space 2 and one infant feeding plan for the one-year-old did not include modifications in consultation with each child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant must include child's name, be signed by the parent or health care provider, and be dated when received by the center. It must also include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. We discussed the following: Child Care Subsidy - Child Care Centers with a Temporary License in good standing may be eligible for participation in the NC Child Care Subsidy System during their first 6 months of operation. Only programs with a 3 Star or higher license are eligible to continue to participate in the Subsidy System after the first 6 months of operation. Now is the time to begin making plans to obtain at least a 3 Star License by the expiration of your Temporary License if you intend to participate in the NC Subsidized Child Care System. Your temporary license expires November 1, 2024. Again, child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Additional Comments: Craven Smart Start is also able to provide you with resources and information, training opportunities, technical assistance on childcare issues. Their phone number is (252) 636- 3198 or check out their website at www.cravensmartstart.org. Child Care Health Consultants can provide training and technical assistance on topics related to health and safety such as sanitation, handwashing, diapering, illness policies, etc. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. Moodle Support – The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. Lead Based Paint & Asbestos - The Child Care Commission adopted childcare rule changes in January 2024. This is a legislatively mandated effort to address lead and asbestos hazards in licensed child care centers. Participation will allow facilities to meet all rule requirements for identified lead and asbestos hazards, as required by law. For information on how to enroll and complete testing please visit https://www.cleanwaterforuskids.org/en/carolina/. I emailed you a copy of each overview during the visit. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at (252) 820-5976, Lakisha.Skinner@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, (252) 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. 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