Latitude Kids Care

10A NCAC 09 .0803 · Violation

Name of Operation: LATITUDE KIDS CARE Facility ID: 25000584 Consultant: BRITTANY JONES Operation Type: Center Case Number: Visit Date: 12/10/2025 Number Present: 40 Completed Date: 12/10/2025 Age: From 0 To 5 Total Minutes: 315 Time In: 09:00 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit and administrative action follow-up visit, including the Corrective Action Plan included in the Written Warning issued by the DCDEE to this facility on November 20, 2025. K. Sosobee, Administrator, assisted me with the visit. Your program currently operates with a Notice of Compliance effective 5/8/2020. The last annual compliance visit was conducted 1/8/25. The sanitation inspection was completed 10/3/25 with a “Superior” classification. The last fire inspection was conducted on 8/7/25 and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was seventy six percent as of 12/9/25. The NC Secretary of State website was reviewed on 12/9/25 and this facility is not currently owned or operated by a corporation. Please contact me prior to and changes regarding the ownership of this facility. 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. All indoor and outdoor spaces were monitored. Children throughout the facility were participating in free play in activity areas, transitions, and personal care routines. Infants received care according to individual needs including bottle feeding. Toddlers were observed creating fingerprint Christmas light crafts and preschoolers were creating handprint angel crafts. The outdoor space was observed to have portable climbers, riding toys, and balls for the children to engage in gross motor activities. Lunch was observed and consisted of hot dogs, macaroni and cheese, baked beans, peaches, and milk. The following violations were documented. Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. Upon arrival at the center, a staff member assigned to space #4 left the classroom space to open the front door. In space #4, seven (7) children, one year of age, were in care with one staff member. GS 110-91(7);.0713(a-d) 542 The written feeding plan was not modified as the child's needs changed. An infant feeding plan was not updated to reflect the intake of baby food. 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. In space #4, a can of Great Value disinfectant spray and two containers of Lysol sanitizing wipes were stored on a shelf beside children’s cubbies. .2820(b) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. A child enrolled in space #4 had an Albuterol inhaler on file without written permission from the parent. 10A NCAC 09 .0803(1)(a & b) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). The cook had a five-year criminal qualifying letter that expired on October 7, 2025. G.S. 110-90.2(b) & .2703(n)&(o) 1757 A valid qualification letter was not on file and available to review at the facility. The cook did not have a current criminal qualifying letter on file. G.S. 110-90.2(b) & (d) & .2703(e) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 12/24/25, 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 Administrative Action: During today's visit, I monitored progress towards completion of the stipulations outlined in the Corrective Action Plan and items in .2201(j) monitored. Stipulation #1: Maintaining compliance with NC Child Care Requirements. Six violations were documented today. Stipulation #2: Within two (2) weeks after this Notice is received the administrator, shall contact the Child Care Resource and Referral Director of Craven Smart Start to arrange for the training, The 5 W’s of Supervision. The training is scheduled for January 6, 2026. Stipulation #3: Within two (2) weeks after Item #2 is completed, the administrator shall develop the facility’s supervision and staff/child ratios policy and procedures to incorporate strategies learned in the training. This stipulation is pending the completion of the training. Stipulation #4: Within two (2) weeks after Item #3 is completed, the administrator shall develop the facility’s discipline policy and procedures. This stipulation is pending the completion of stipulation #3. Stipulation #5: Within one (1) week after notification from the Division that the stipulation has been met for the supervision policy and discipline policy, the administrator shall conduct a staff meeting with all staff members to discuss the policies. This stipulation is pending the completion of the policies. Stipulation #6: Within two (2) weeks after Item #5 is completed, the administrator shall develop a written plan for observation and evaluation of each staff member’s performance. This stipulation is pending the completion of stipulation #5. Technical Assistance with Documented Violations: Criminal Background Check: Intentional planning for completing criminal background checks before they expire five years from the date on the letter will eliminate a lapse in criminal background checks. Paper work can be sent in up to six months before the expiration date in order to obtain a new letter. The cook, B. Jones, had a five-year criminal qualifying letter that expired on October 7, 2025. Submission of the required forms to complete a criminal background check has not occurred to date. This violation must be corrected within fifteen (15) days, by December 25, 2025, and a copy of the qualification letter must be sent with the required compliance letter. If the qualification letter is not on file within the 15 days, the employee cannot be at the facility any longer until they receive their qualification letter. You stated that you will assist her in completing the application today and then will go get your fingerprints completed. You stated that you would like to create a communication board in the break room and post the staff and training worksheet as a reminder of when trainings are due. A tracking system should be put into place to help you remind staff to submit paperwork before a qualification letter expires. Staff/Child Ratio: Staff/child ratios must be met at all times while caring for children in a center. If a teacher needs to leave the room, another staff member needs to be notified so they can cover the ratio while teacher is out of the room. A communication system, such as phones or walkie talkies, can be utilized so it is easy for teachers to inform others when they need assistance. Upon arrival at the center, a staff member assigned to space #4 left the classroom space to open the front door. In space #4, seven (7) children, one year of age, were in care with one staff member. We discussed that staff members should use their walkie talkies to call for assistance to open the door, rather than leaving their classroom out of ratio or take a child with them to maintain ratio. Ensure that all staff members have access to a walkie talkie at all times to be able to call for immediate assistance when needed. We discussed that this process should be added to the supervision and staff/child ratio policies that you will be creating as a part of the administrative action. In addition, a follow-up visit will be conducted. 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. A child enrolled in space #4 had an Albuterol inhaler on file without written permission from the parent. You stated that you recently received th inhaler and had given a written permission form to the parent to complete and must not have gotten back from them. Ensure that when you accept medication, you gather the written permission form with the medical action plan. 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. An infant feeding plan was not updated to reflect the intake of baby food. We discussed that the feeding plan should be adjusted to reflect the infant’s current needs as soon as the parent reports the change. During the visit, you moved the infant feeding sheets beside the dry erase board that documents feeding and diapering times so that the plans can easily be updated. Review the infant feeding plans monthly to ensure that they are up to date. Storage of Hazardous Items: Intentional planning of the environment ensures a safe environment has been created which prevents and reduces injuries to young children. In space #4, a can of Great Value disinfectant spray and two containers of Lysol sanitizing wipes were stored on a shelf beside children’s cubbies. You moved these items to locked storage to correct these violations during the visit. Monitor classroom spaces before the children arrive to ensure that all hazards are stored properly. Additional Comments: 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 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 thermometer, rain gauge, and wind socks. 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

G.S. 110-90 · Violation

Name of Operation: LATITUDE KIDS CARE Facility ID: 25000584 Consultant: BRITTANY JONES Operation Type: Center Case Number: Visit Date: 12/10/2025 Number Present: 40 Completed Date: 12/10/2025 Age: From 0 To 5 Total Minutes: 315 Time In: 09:00 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit and administrative action follow-up visit, including the Corrective Action Plan included in the Written Warning issued by the DCDEE to this facility on November 20, 2025. K. Sosobee, Administrator, assisted me with the visit. Your program currently operates with a Notice of Compliance effective 5/8/2020. The last annual compliance visit was conducted 1/8/25. The sanitation inspection was completed 10/3/25 with a “Superior” classification. The last fire inspection was conducted on 8/7/25 and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was seventy six percent as of 12/9/25. The NC Secretary of State website was reviewed on 12/9/25 and this facility is not currently owned or operated by a corporation. Please contact me prior to and changes regarding the ownership of this facility. 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. All indoor and outdoor spaces were monitored. Children throughout the facility were participating in free play in activity areas, transitions, and personal care routines. Infants received care according to individual needs including bottle feeding. Toddlers were observed creating fingerprint Christmas light crafts and preschoolers were creating handprint angel crafts. The outdoor space was observed to have portable climbers, riding toys, and balls for the children to engage in gross motor activities. Lunch was observed and consisted of hot dogs, macaroni and cheese, baked beans, peaches, and milk. The following violations were documented. Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. Upon arrival at the center, a staff member assigned to space #4 left the classroom space to open the front door. In space #4, seven (7) children, one year of age, were in care with one staff member. GS 110-91(7);.0713(a-d) 542 The written feeding plan was not modified as the child's needs changed. An infant feeding plan was not updated to reflect the intake of baby food. 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. In space #4, a can of Great Value disinfectant spray and two containers of Lysol sanitizing wipes were stored on a shelf beside children’s cubbies. .2820(b) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. A child enrolled in space #4 had an Albuterol inhaler on file without written permission from the parent. 10A NCAC 09 .0803(1)(a & b) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). The cook had a five-year criminal qualifying letter that expired on October 7, 2025. G.S. 110-90.2(b) & .2703(n)&(o) 1757 A valid qualification letter was not on file and available to review at the facility. The cook did not have a current criminal qualifying letter on file. G.S. 110-90.2(b) & (d) & .2703(e) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 12/24/25, 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 Administrative Action: During today's visit, I monitored progress towards completion of the stipulations outlined in the Corrective Action Plan and items in .2201(j) monitored. Stipulation #1: Maintaining compliance with NC Child Care Requirements. Six violations were documented today. Stipulation #2: Within two (2) weeks after this Notice is received the administrator, shall contact the Child Care Resource and Referral Director of Craven Smart Start to arrange for the training, The 5 W’s of Supervision. The training is scheduled for January 6, 2026. Stipulation #3: Within two (2) weeks after Item #2 is completed, the administrator shall develop the facility’s supervision and staff/child ratios policy and procedures to incorporate strategies learned in the training. This stipulation is pending the completion of the training. Stipulation #4: Within two (2) weeks after Item #3 is completed, the administrator shall develop the facility’s discipline policy and procedures. This stipulation is pending the completion of stipulation #3. Stipulation #5: Within one (1) week after notification from the Division that the stipulation has been met for the supervision policy and discipline policy, the administrator shall conduct a staff meeting with all staff members to discuss the policies. This stipulation is pending the completion of the policies. Stipulation #6: Within two (2) weeks after Item #5 is completed, the administrator shall develop a written plan for observation and evaluation of each staff member’s performance. This stipulation is pending the completion of stipulation #5. Technical Assistance with Documented Violations: Criminal Background Check: Intentional planning for completing criminal background checks before they expire five years from the date on the letter will eliminate a lapse in criminal background checks. Paper work can be sent in up to six months before the expiration date in order to obtain a new letter. The cook, B. Jones, had a five-year criminal qualifying letter that expired on October 7, 2025. Submission of the required forms to complete a criminal background check has not occurred to date. This violation must be corrected within fifteen (15) days, by December 25, 2025, and a copy of the qualification letter must be sent with the required compliance letter. If the qualification letter is not on file within the 15 days, the employee cannot be at the facility any longer until they receive their qualification letter. You stated that you will assist her in completing the application today and then will go get your fingerprints completed. You stated that you would like to create a communication board in the break room and post the staff and training worksheet as a reminder of when trainings are due. A tracking system should be put into place to help you remind staff to submit paperwork before a qualification letter expires. Staff/Child Ratio: Staff/child ratios must be met at all times while caring for children in a center. If a teacher needs to leave the room, another staff member needs to be notified so they can cover the ratio while teacher is out of the room. A communication system, such as phones or walkie talkies, can be utilized so it is easy for teachers to inform others when they need assistance. Upon arrival at the center, a staff member assigned to space #4 left the classroom space to open the front door. In space #4, seven (7) children, one year of age, were in care with one staff member. We discussed that staff members should use their walkie talkies to call for assistance to open the door, rather than leaving their classroom out of ratio or take a child with them to maintain ratio. Ensure that all staff members have access to a walkie talkie at all times to be able to call for immediate assistance when needed. We discussed that this process should be added to the supervision and staff/child ratio policies that you will be creating as a part of the administrative action. In addition, a follow-up visit will be conducted. 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. A child enrolled in space #4 had an Albuterol inhaler on file without written permission from the parent. You stated that you recently received th inhaler and had given a written permission form to the parent to complete and must not have gotten back from them. Ensure that when you accept medication, you gather the written permission form with the medical action plan. 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. An infant feeding plan was not updated to reflect the intake of baby food. We discussed that the feeding plan should be adjusted to reflect the infant’s current needs as soon as the parent reports the change. During the visit, you moved the infant feeding sheets beside the dry erase board that documents feeding and diapering times so that the plans can easily be updated. Review the infant feeding plans monthly to ensure that they are up to date. Storage of Hazardous Items: Intentional planning of the environment ensures a safe environment has been created which prevents and reduces injuries to young children. In space #4, a can of Great Value disinfectant spray and two containers of Lysol sanitizing wipes were stored on a shelf beside children’s cubbies. You moved these items to locked storage to correct these violations during the visit. Monitor classroom spaces before the children arrive to ensure that all hazards are stored properly. Additional Comments: 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 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 thermometer, rain gauge, and wind socks. 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

GS 110-91 · Violation

Name of Operation: LATITUDE KIDS CARE Facility ID: 25000584 Consultant: BRITTANY JONES Operation Type: Center Case Number: Visit Date: 12/10/2025 Number Present: 40 Completed Date: 12/10/2025 Age: From 0 To 5 Total Minutes: 315 Time In: 09:00 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit and administrative action follow-up visit, including the Corrective Action Plan included in the Written Warning issued by the DCDEE to this facility on November 20, 2025. K. Sosobee, Administrator, assisted me with the visit. Your program currently operates with a Notice of Compliance effective 5/8/2020. The last annual compliance visit was conducted 1/8/25. The sanitation inspection was completed 10/3/25 with a “Superior” classification. The last fire inspection was conducted on 8/7/25 and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was seventy six percent as of 12/9/25. The NC Secretary of State website was reviewed on 12/9/25 and this facility is not currently owned or operated by a corporation. Please contact me prior to and changes regarding the ownership of this facility. 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. All indoor and outdoor spaces were monitored. Children throughout the facility were participating in free play in activity areas, transitions, and personal care routines. Infants received care according to individual needs including bottle feeding. Toddlers were observed creating fingerprint Christmas light crafts and preschoolers were creating handprint angel crafts. The outdoor space was observed to have portable climbers, riding toys, and balls for the children to engage in gross motor activities. Lunch was observed and consisted of hot dogs, macaroni and cheese, baked beans, peaches, and milk. The following violations were documented. Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. Upon arrival at the center, a staff member assigned to space #4 left the classroom space to open the front door. In space #4, seven (7) children, one year of age, were in care with one staff member. GS 110-91(7);.0713(a-d) 542 The written feeding plan was not modified as the child's needs changed. An infant feeding plan was not updated to reflect the intake of baby food. 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. In space #4, a can of Great Value disinfectant spray and two containers of Lysol sanitizing wipes were stored on a shelf beside children’s cubbies. .2820(b) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. A child enrolled in space #4 had an Albuterol inhaler on file without written permission from the parent. 10A NCAC 09 .0803(1)(a & b) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). The cook had a five-year criminal qualifying letter that expired on October 7, 2025. G.S. 110-90.2(b) & .2703(n)&(o) 1757 A valid qualification letter was not on file and available to review at the facility. The cook did not have a current criminal qualifying letter on file. G.S. 110-90.2(b) & (d) & .2703(e) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 12/24/25, 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 Administrative Action: During today's visit, I monitored progress towards completion of the stipulations outlined in the Corrective Action Plan and items in .2201(j) monitored. Stipulation #1: Maintaining compliance with NC Child Care Requirements. Six violations were documented today. Stipulation #2: Within two (2) weeks after this Notice is received the administrator, shall contact the Child Care Resource and Referral Director of Craven Smart Start to arrange for the training, The 5 W’s of Supervision. The training is scheduled for January 6, 2026. Stipulation #3: Within two (2) weeks after Item #2 is completed, the administrator shall develop the facility’s supervision and staff/child ratios policy and procedures to incorporate strategies learned in the training. This stipulation is pending the completion of the training. Stipulation #4: Within two (2) weeks after Item #3 is completed, the administrator shall develop the facility’s discipline policy and procedures. This stipulation is pending the completion of stipulation #3. Stipulation #5: Within one (1) week after notification from the Division that the stipulation has been met for the supervision policy and discipline policy, the administrator shall conduct a staff meeting with all staff members to discuss the policies. This stipulation is pending the completion of the policies. Stipulation #6: Within two (2) weeks after Item #5 is completed, the administrator shall develop a written plan for observation and evaluation of each staff member’s performance. This stipulation is pending the completion of stipulation #5. Technical Assistance with Documented Violations: Criminal Background Check: Intentional planning for completing criminal background checks before they expire five years from the date on the letter will eliminate a lapse in criminal background checks. Paper work can be sent in up to six months before the expiration date in order to obtain a new letter. The cook, B. Jones, had a five-year criminal qualifying letter that expired on October 7, 2025. Submission of the required forms to complete a criminal background check has not occurred to date. This violation must be corrected within fifteen (15) days, by December 25, 2025, and a copy of the qualification letter must be sent with the required compliance letter. If the qualification letter is not on file within the 15 days, the employee cannot be at the facility any longer until they receive their qualification letter. You stated that you will assist her in completing the application today and then will go get your fingerprints completed. You stated that you would like to create a communication board in the break room and post the staff and training worksheet as a reminder of when trainings are due. A tracking system should be put into place to help you remind staff to submit paperwork before a qualification letter expires. Staff/Child Ratio: Staff/child ratios must be met at all times while caring for children in a center. If a teacher needs to leave the room, another staff member needs to be notified so they can cover the ratio while teacher is out of the room. A communication system, such as phones or walkie talkies, can be utilized so it is easy for teachers to inform others when they need assistance. Upon arrival at the center, a staff member assigned to space #4 left the classroom space to open the front door. In space #4, seven (7) children, one year of age, were in care with one staff member. We discussed that staff members should use their walkie talkies to call for assistance to open the door, rather than leaving their classroom out of ratio or take a child with them to maintain ratio. Ensure that all staff members have access to a walkie talkie at all times to be able to call for immediate assistance when needed. We discussed that this process should be added to the supervision and staff/child ratio policies that you will be creating as a part of the administrative action. In addition, a follow-up visit will be conducted. 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. A child enrolled in space #4 had an Albuterol inhaler on file without written permission from the parent. You stated that you recently received th inhaler and had given a written permission form to the parent to complete and must not have gotten back from them. Ensure that when you accept medication, you gather the written permission form with the medical action plan. 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. An infant feeding plan was not updated to reflect the intake of baby food. We discussed that the feeding plan should be adjusted to reflect the infant’s current needs as soon as the parent reports the change. During the visit, you moved the infant feeding sheets beside the dry erase board that documents feeding and diapering times so that the plans can easily be updated. Review the infant feeding plans monthly to ensure that they are up to date. Storage of Hazardous Items: Intentional planning of the environment ensures a safe environment has been created which prevents and reduces injuries to young children. In space #4, a can of Great Value disinfectant spray and two containers of Lysol sanitizing wipes were stored on a shelf beside children’s cubbies. You moved these items to locked storage to correct these violations during the visit. Monitor classroom spaces before the children arrive to ensure that all hazards are stored properly. Additional Comments: 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 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 thermometer, rain gauge, and wind socks. 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: LATITUDE KIDS CARE Facility ID: 25000584 Consultant: BRITTANY JONES Operation Type: Center Case Number: Visit Date: 12/10/2025 Number Present: 40 Completed Date: 12/10/2025 Age: From 0 To 5 Total Minutes: 315 Time In: 09:00 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit and administrative action follow-up visit, including the Corrective Action Plan included in the Written Warning issued by the DCDEE to this facility on November 20, 2025. K. Sosobee, Administrator, assisted me with the visit. Your program currently operates with a Notice of Compliance effective 5/8/2020. The last annual compliance visit was conducted 1/8/25. The sanitation inspection was completed 10/3/25 with a “Superior” classification. The last fire inspection was conducted on 8/7/25 and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was seventy six percent as of 12/9/25. The NC Secretary of State website was reviewed on 12/9/25 and this facility is not currently owned or operated by a corporation. Please contact me prior to and changes regarding the ownership of this facility. 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. All indoor and outdoor spaces were monitored. Children throughout the facility were participating in free play in activity areas, transitions, and personal care routines. Infants received care according to individual needs including bottle feeding. Toddlers were observed creating fingerprint Christmas light crafts and preschoolers were creating handprint angel crafts. The outdoor space was observed to have portable climbers, riding toys, and balls for the children to engage in gross motor activities. Lunch was observed and consisted of hot dogs, macaroni and cheese, baked beans, peaches, and milk. The following violations were documented. Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. Upon arrival at the center, a staff member assigned to space #4 left the classroom space to open the front door. In space #4, seven (7) children, one year of age, were in care with one staff member. GS 110-91(7);.0713(a-d) 542 The written feeding plan was not modified as the child's needs changed. An infant feeding plan was not updated to reflect the intake of baby food. 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. In space #4, a can of Great Value disinfectant spray and two containers of Lysol sanitizing wipes were stored on a shelf beside children’s cubbies. .2820(b) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. A child enrolled in space #4 had an Albuterol inhaler on file without written permission from the parent. 10A NCAC 09 .0803(1)(a & b) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). The cook had a five-year criminal qualifying letter that expired on October 7, 2025. G.S. 110-90.2(b) & .2703(n)&(o) 1757 A valid qualification letter was not on file and available to review at the facility. The cook did not have a current criminal qualifying letter on file. G.S. 110-90.2(b) & (d) & .2703(e) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 12/24/25, 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 Administrative Action: During today's visit, I monitored progress towards completion of the stipulations outlined in the Corrective Action Plan and items in .2201(j) monitored. Stipulation #1: Maintaining compliance with NC Child Care Requirements. Six violations were documented today. Stipulation #2: Within two (2) weeks after this Notice is received the administrator, shall contact the Child Care Resource and Referral Director of Craven Smart Start to arrange for the training, The 5 W’s of Supervision. The training is scheduled for January 6, 2026. Stipulation #3: Within two (2) weeks after Item #2 is completed, the administrator shall develop the facility’s supervision and staff/child ratios policy and procedures to incorporate strategies learned in the training. This stipulation is pending the completion of the training. Stipulation #4: Within two (2) weeks after Item #3 is completed, the administrator shall develop the facility’s discipline policy and procedures. This stipulation is pending the completion of stipulation #3. Stipulation #5: Within one (1) week after notification from the Division that the stipulation has been met for the supervision policy and discipline policy, the administrator shall conduct a staff meeting with all staff members to discuss the policies. This stipulation is pending the completion of the policies. Stipulation #6: Within two (2) weeks after Item #5 is completed, the administrator shall develop a written plan for observation and evaluation of each staff member’s performance. This stipulation is pending the completion of stipulation #5. Technical Assistance with Documented Violations: Criminal Background Check: Intentional planning for completing criminal background checks before they expire five years from the date on the letter will eliminate a lapse in criminal background checks. Paper work can be sent in up to six months before the expiration date in order to obtain a new letter. The cook, B. Jones, had a five-year criminal qualifying letter that expired on October 7, 2025. Submission of the required forms to complete a criminal background check has not occurred to date. This violation must be corrected within fifteen (15) days, by December 25, 2025, and a copy of the qualification letter must be sent with the required compliance letter. If the qualification letter is not on file within the 15 days, the employee cannot be at the facility any longer until they receive their qualification letter. You stated that you will assist her in completing the application today and then will go get your fingerprints completed. You stated that you would like to create a communication board in the break room and post the staff and training worksheet as a reminder of when trainings are due. A tracking system should be put into place to help you remind staff to submit paperwork before a qualification letter expires. Staff/Child Ratio: Staff/child ratios must be met at all times while caring for children in a center. If a teacher needs to leave the room, another staff member needs to be notified so they can cover the ratio while teacher is out of the room. A communication system, such as phones or walkie talkies, can be utilized so it is easy for teachers to inform others when they need assistance. Upon arrival at the center, a staff member assigned to space #4 left the classroom space to open the front door. In space #4, seven (7) children, one year of age, were in care with one staff member. We discussed that staff members should use their walkie talkies to call for assistance to open the door, rather than leaving their classroom out of ratio or take a child with them to maintain ratio. Ensure that all staff members have access to a walkie talkie at all times to be able to call for immediate assistance when needed. We discussed that this process should be added to the supervision and staff/child ratio policies that you will be creating as a part of the administrative action. In addition, a follow-up visit will be conducted. 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. A child enrolled in space #4 had an Albuterol inhaler on file without written permission from the parent. You stated that you recently received th inhaler and had given a written permission form to the parent to complete and must not have gotten back from them. Ensure that when you accept medication, you gather the written permission form with the medical action plan. 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. An infant feeding plan was not updated to reflect the intake of baby food. We discussed that the feeding plan should be adjusted to reflect the infant’s current needs as soon as the parent reports the change. During the visit, you moved the infant feeding sheets beside the dry erase board that documents feeding and diapering times so that the plans can easily be updated. Review the infant feeding plans monthly to ensure that they are up to date. Storage of Hazardous Items: Intentional planning of the environment ensures a safe environment has been created which prevents and reduces injuries to young children. In space #4, a can of Great Value disinfectant spray and two containers of Lysol sanitizing wipes were stored on a shelf beside children’s cubbies. You moved these items to locked storage to correct these violations during the visit. Monitor classroom spaces before the children arrive to ensure that all hazards are stored properly. Additional Comments: 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 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 thermometer, rain gauge, and wind socks. 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 .0604 · Violation

Name of Operation: LATITUDE KIDS CARE Facility ID: 25000584 Consultant: MICHELLE O'KELLEY Operation Type: Center Case Number: Visit Date: 9/8/2025 Number Present: 48 Completed Date: 9/8/2025 Age: From 0 To 4 Total Minutes: 101 Time In: 08:59 AM Time Out: 10:40 AM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The following violations documented during the 8/21/25 visit were monitored for compliance during this visit and verified as corrected: 301- Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. This is a violation of a requirement in GS 110-91 (7);.0713(a-e). Today, each space was monitored, and staff/ child ratios were in compliance. As stated in the 8/21/25 visit summary, all violations must be corrected immediately and a compliance letter verifying this must be received by the established due date. Today, I verified the correction of the violation. The following violation was documented. Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Two uncovered outlets in space #2 located on the wall with the mounted television was accessible to the children in care. 10A NCAC 09 .0604(c) Technical Assistance with Documented Violations: Electrical Outlets- Approximately 2,400 children are injured annually by inserting objects into the slots of electrical outlets. For this reason, all electrical outlets, including those on power strips, not in use that are in areas accessible to children must be protected with a safety plug or a tamper-resistant electrical outlet. Two uncovered outlets in space #2 located on the wall with the mounted television was accessible to the children in care. You stated that the church uses the classrooms on Sundays and did not replace the cover. You covered both outlets during the visit. Consider adding a note near the outlets to serve as a reminder to re-cover the outlets. Additional Comments: 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 Michelle O’Kelley, Child Care Consultant, (252) 508-3955, Michelle.okelley@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

GS 110-91 · Violation

Name of Operation: LATITUDE KIDS CARE Facility ID: 25000584 Consultant: MICHELLE O'KELLEY Operation Type: Center Case Number: Visit Date: 9/8/2025 Number Present: 48 Completed Date: 9/8/2025 Age: From 0 To 4 Total Minutes: 101 Time In: 08:59 AM Time Out: 10:40 AM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The following violations documented during the 8/21/25 visit were monitored for compliance during this visit and verified as corrected: 301- Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. This is a violation of a requirement in GS 110-91 (7);.0713(a-e). Today, each space was monitored, and staff/ child ratios were in compliance. As stated in the 8/21/25 visit summary, all violations must be corrected immediately and a compliance letter verifying this must be received by the established due date. Today, I verified the correction of the violation. The following violation was documented. Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Two uncovered outlets in space #2 located on the wall with the mounted television was accessible to the children in care. 10A NCAC 09 .0604(c) Technical Assistance with Documented Violations: Electrical Outlets- Approximately 2,400 children are injured annually by inserting objects into the slots of electrical outlets. For this reason, all electrical outlets, including those on power strips, not in use that are in areas accessible to children must be protected with a safety plug or a tamper-resistant electrical outlet. Two uncovered outlets in space #2 located on the wall with the mounted television was accessible to the children in care. You stated that the church uses the classrooms on Sundays and did not replace the cover. You covered both outlets during the visit. Consider adding a note near the outlets to serve as a reminder to re-cover the outlets. Additional Comments: 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 Michelle O’Kelley, Child Care Consultant, (252) 508-3955, Michelle.okelley@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

GS 110-91 · Violation

Name of Operation: LATITUDE KIDS CARE Facility ID: 25000584 Consultant: BRITTANY JONES Operation Type: Center Case Number: Visit Date: 8/21/2025 Number Present: 45 Completed Date: 8/21/2025 Age: From 0 To 4 Total Minutes: 160 Time In: 11:20 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to verify correction of violations documented during my August 8, 2025, Unannounced Follow-Up visit. K. Sosebee, Administrator, and S. Jones, Classroom Coordinator, assisted me with today’s visit. Upon arrival, children were finishing a lunch that consisted of corn dogs, corn, and pears. After lunch, children washed their hands and completed personal care routines before laying down on child sized cots covered with sheets. Infants were napping in cribs and having tummy time on the carpet. The following violations documented during the 8/8/25 visit were monitored for compliance during this visit and verified as corrected: 1876- A child was yelled at, shamed, humiliated, frightened, threatened or bullied. This is a violation of a requirement in .1803(a)(9). Today, each space was monitored, and the discipline policy was followed. Teacher interactions were monitored, and children's needs were met with calming language when redirecting children. As stated in the 8/8/25 visit summary, all violations must be corrected immediately and a compliance letter verifying this must be received by the established due date. At the time of today’s visit, a compliance letter had been received. Today, I verified the correction of the violation. Due to a violation regarding inadequate supervision documented on two consecutive visits, an administrative action may be recommended, and you will be notified in writing of any action taken. In addition, a follow-up visit will be conducted. The following violation was documented. Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. In space #4, eight (8) children, one (1) year of age, were in care with one staff member. GS 110-91(7);.0713(a-d) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 9/4/25, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit 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: Staff/Child Ratio: Staff/child ratios must be met at all times while caring for children in a center. Some operators find it beneficial to hire part-time staff to help provide extra coverage during certain hours of the day to assist primary caregivers with carrying out daily activities and routines. During today’s visit, it was nap time throughout the center and lunch breaks were occurring. In space #4, eight (8) children, one (1) year of age, were in care with one staff member. You stated that you thought the ratio doubled at nap time. We discussed that staff/child ratio for children aged birth to one year of age does not change during nap time and I showed you the rule in Chapter 9 during the visit. A second staff member went into the classroom after this discussion so that two staff members were present. You stated that two staff members will remain in the one-year-old classroom at all times. Ensure that when scheduling lunch breaks, ratios are maintained at all times. 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: LATITUDE KIDS CARE Facility ID: 25000584 Consultant: BRITTANY JONES Operation Type: Center Case Number: Visit Date: 8/21/2025 Number Present: 45 Completed Date: 8/21/2025 Age: From 0 To 4 Total Minutes: 160 Time In: 11:20 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to verify correction of violations documented during my August 8, 2025, Unannounced Follow-Up visit. K. Sosebee, Administrator, and S. Jones, Classroom Coordinator, assisted me with today’s visit. Upon arrival, children were finishing a lunch that consisted of corn dogs, corn, and pears. After lunch, children washed their hands and completed personal care routines before laying down on child sized cots covered with sheets. Infants were napping in cribs and having tummy time on the carpet. The following violations documented during the 8/8/25 visit were monitored for compliance during this visit and verified as corrected: 1876- A child was yelled at, shamed, humiliated, frightened, threatened or bullied. This is a violation of a requirement in .1803(a)(9). Today, each space was monitored, and the discipline policy was followed. Teacher interactions were monitored, and children's needs were met with calming language when redirecting children. As stated in the 8/8/25 visit summary, all violations must be corrected immediately and a compliance letter verifying this must be received by the established due date. At the time of today’s visit, a compliance letter had been received. Today, I verified the correction of the violation. Due to a violation regarding inadequate supervision documented on two consecutive visits, an administrative action may be recommended, and you will be notified in writing of any action taken. In addition, a follow-up visit will be conducted. The following violation was documented. Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. In space #4, eight (8) children, one (1) year of age, were in care with one staff member. GS 110-91(7);.0713(a-d) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 9/4/25, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit 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: Staff/Child Ratio: Staff/child ratios must be met at all times while caring for children in a center. Some operators find it beneficial to hire part-time staff to help provide extra coverage during certain hours of the day to assist primary caregivers with carrying out daily activities and routines. During today’s visit, it was nap time throughout the center and lunch breaks were occurring. In space #4, eight (8) children, one (1) year of age, were in care with one staff member. You stated that you thought the ratio doubled at nap time. We discussed that staff/child ratio for children aged birth to one year of age does not change during nap time and I showed you the rule in Chapter 9 during the visit. A second staff member went into the classroom after this discussion so that two staff members were present. You stated that two staff members will remain in the one-year-old classroom at all times. Ensure that when scheduling lunch breaks, ratios are maintained at all times. 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

G.S. 110-91 · Violation

Name of Operation: LATITUDE KIDS CARE Facility ID: 25000584 Consultant: BRITTANY JONES Operation Type: Center Case Number: Visit Date: 8/8/2025 Number Present: 44 Completed Date: 8/8/2025 Age: From 0 To 5 Total Minutes: 300 Time In: 09:00 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to verify correction of violations documented during my July 30, 2025, Unannounced Follow-Up visit. K. Sosebee, Administrator, and S. Jones, Classroom Coordinator, assisted me with today’s visit. Upon arrival, children were transitioning to the outdoor spaces. Children in spaces #1, #2, and #5 were observed having water day in the outdoor space. The children played in three wading pools filled with water. After water day, the children transitioned inside and completed personal care routines and changed into dry clothes. The following violations documented during the 7/30/25 visit were monitored for compliance during this visit and verified as corrected: 303- Children were not adequately supervised at all times. This is a violation of a requirement in .1801(a)(1-5). Today, while space #5 was transitioning from the outdoor space to the classroom, one staff member led the class inside while the second assigned staff was at the back of the group. The children sat on the wall directly inside the back door and took turns changing their clothes in the bathrooms. After the children were changed, they sat on the wall outside of the classroom. When all the children were changed, one staff led the class in the classroom and the second staff member was the last person to enter the classroom. 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. This is a violation of a requirement in 15A NCAC 18A .2803(c). Today, children in space #5 washed their hands while changing their clothes after they came in from the outside space. 902- Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. This is a violation of a requirement in G.S. 110-91(10). Today, the teacher in space #5 was observed using soft tones while speaking with children. After the class transitioned to the classroom, they sat on the carpet while one staff member read a book, and the other staff sanitized the tables for lunch. As stated in the 7/30/25 visit summary, all violations must be corrected immediately and a compliance letter verifying this must be received by the established due date. At the time of today’s visit, a compliance letter had been received. Today, I verified the correction of the three violations. Due to a violation regarding discipline documented on two consecutive visits, an administrative action may be recommended, and you will be notified in writing of any action taken. In addition, a follow-up visit will be conducted. The following violations were documented. Violation Number Comment Rule 1876 A child was yelled at, shamed, humiliated, frightened, threatened or bullied. During water day in the outdoor space, a staff member was observed talking to children in a harsh tone with statements of “I do not like when you stand on the side of the pool. Do you want to go to time out? You will not do it again; do you understand me? You cannot participate in water day if you do that again. You need a time out. Sit down.” .1803(a)(9) 1915 Aquatic activities were permitted in hot tubs, spas, saunas or steam rooms, portable wading pools, natural bodies of water, or other unfiltered non disinfected containments of water. In the outdoor space, three (3) wading pools were observed and were full of approximately six (6) inches of water. .1403(b)(1-5) 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 8/22/25, 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: Discipline: Caregivers/teachers should guide children to develop self-control and appropriate behaviors in the context of relationships with peers and adults. Caregivers/teachers should care for children without ever resorting to physical punishment or abusive language. When a child needs assistance to resolve a conflict, manage a transition, engage in a challenging situation, or express feelings, needs, and wants, the adult should help the child learn strategies for dealing with the situation. During water day in the outdoor space, a staff member was observed talking to children in a harsh tone with statements of “I do not like when you stand on the side of the pool. Do you want to go to time out? You will not do it again; do you understand me? You cannot participate in water day if you do that again.” The child was placed in time out as a punishment. We discussed that these statements were threatening, and time out should not be used as punishment. You stated that you want the teachers to use time out as a calm down and you are creating cozy areas in each classroom. You also stated that you had a staff meeting with all staff members on August 6, 2025 and discussed tone and language and how it sets the emotional tone of the environment. We discussed that having three classrooms participate in water day together was chaotic and you stated that today was the first time that the classrooms participated together. I discussed what I observed with the staff member, and she stated that the chaos added to the short statements. We discussed that children need the explanation of why actions are inappropriate so that they understand to not repeat them. Review the discipline policy with your staff members and make classroom observations to ensure that the discipline policy is being implemented correctly. Water Safety: In addition to home swimming and wading pools, young children drown in bathtubs and pail. Any body of water, including hot tubs, pails, and toilets, presents a drowning risk to young children. In the outdoor space, three (3) wading pools were observed and were full of approximately six (6) inches of water. We discussed that wading pools were prohibited even with the aquatic policy and permission forms that you have on file. You stated that you did not know that wading pools were prohibited and would not use them again. We discussed that you could use sprinklers, water tables, and small bins of water on water days. Remove the pools from the outdoor space and do not use them again. 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: LATITUDE KIDS CARE Facility ID: 25000584 Consultant: BRITTANY JONES Operation Type: Center Case Number: Visit Date: 8/8/2025 Number Present: 44 Completed Date: 8/8/2025 Age: From 0 To 5 Total Minutes: 300 Time In: 09:00 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to verify correction of violations documented during my July 30, 2025, Unannounced Follow-Up visit. K. Sosebee, Administrator, and S. Jones, Classroom Coordinator, assisted me with today’s visit. Upon arrival, children were transitioning to the outdoor spaces. Children in spaces #1, #2, and #5 were observed having water day in the outdoor space. The children played in three wading pools filled with water. After water day, the children transitioned inside and completed personal care routines and changed into dry clothes. The following violations documented during the 7/30/25 visit were monitored for compliance during this visit and verified as corrected: 303- Children were not adequately supervised at all times. This is a violation of a requirement in .1801(a)(1-5). Today, while space #5 was transitioning from the outdoor space to the classroom, one staff member led the class inside while the second assigned staff was at the back of the group. The children sat on the wall directly inside the back door and took turns changing their clothes in the bathrooms. After the children were changed, they sat on the wall outside of the classroom. When all the children were changed, one staff led the class in the classroom and the second staff member was the last person to enter the classroom. 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. This is a violation of a requirement in 15A NCAC 18A .2803(c). Today, children in space #5 washed their hands while changing their clothes after they came in from the outside space. 902- Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. This is a violation of a requirement in G.S. 110-91(10). Today, the teacher in space #5 was observed using soft tones while speaking with children. After the class transitioned to the classroom, they sat on the carpet while one staff member read a book, and the other staff sanitized the tables for lunch. As stated in the 7/30/25 visit summary, all violations must be corrected immediately and a compliance letter verifying this must be received by the established due date. At the time of today’s visit, a compliance letter had been received. Today, I verified the correction of the three violations. Due to a violation regarding discipline documented on two consecutive visits, an administrative action may be recommended, and you will be notified in writing of any action taken. In addition, a follow-up visit will be conducted. The following violations were documented. Violation Number Comment Rule 1876 A child was yelled at, shamed, humiliated, frightened, threatened or bullied. During water day in the outdoor space, a staff member was observed talking to children in a harsh tone with statements of “I do not like when you stand on the side of the pool. Do you want to go to time out? You will not do it again; do you understand me? You cannot participate in water day if you do that again. You need a time out. Sit down.” .1803(a)(9) 1915 Aquatic activities were permitted in hot tubs, spas, saunas or steam rooms, portable wading pools, natural bodies of water, or other unfiltered non disinfected containments of water. In the outdoor space, three (3) wading pools were observed and were full of approximately six (6) inches of water. .1403(b)(1-5) 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 8/22/25, 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: Discipline: Caregivers/teachers should guide children to develop self-control and appropriate behaviors in the context of relationships with peers and adults. Caregivers/teachers should care for children without ever resorting to physical punishment or abusive language. When a child needs assistance to resolve a conflict, manage a transition, engage in a challenging situation, or express feelings, needs, and wants, the adult should help the child learn strategies for dealing with the situation. During water day in the outdoor space, a staff member was observed talking to children in a harsh tone with statements of “I do not like when you stand on the side of the pool. Do you want to go to time out? You will not do it again; do you understand me? You cannot participate in water day if you do that again.” The child was placed in time out as a punishment. We discussed that these statements were threatening, and time out should not be used as punishment. You stated that you want the teachers to use time out as a calm down and you are creating cozy areas in each classroom. You also stated that you had a staff meeting with all staff members on August 6, 2025 and discussed tone and language and how it sets the emotional tone of the environment. We discussed that having three classrooms participate in water day together was chaotic and you stated that today was the first time that the classrooms participated together. I discussed what I observed with the staff member, and she stated that the chaos added to the short statements. We discussed that children need the explanation of why actions are inappropriate so that they understand to not repeat them. Review the discipline policy with your staff members and make classroom observations to ensure that the discipline policy is being implemented correctly. Water Safety: In addition to home swimming and wading pools, young children drown in bathtubs and pail. Any body of water, including hot tubs, pails, and toilets, presents a drowning risk to young children. In the outdoor space, three (3) wading pools were observed and were full of approximately six (6) inches of water. We discussed that wading pools were prohibited even with the aquatic policy and permission forms that you have on file. You stated that you did not know that wading pools were prohibited and would not use them again. We discussed that you could use sprinklers, water tables, and small bins of water on water days. Remove the pools from the outdoor space and do not use them again. 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 .0601 · Violation

Name of Operation: LATITUDE KIDS CARE Facility ID: 25000584 Consultant: BRITTANY JONES Operation Type: Center Case Number: Visit Date: 7/30/2025 Number Present: 47 Completed Date: 7/30/2025 Age: From 0 To 5 Total Minutes: 300 Time In: 10:00 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to verify correction of violations documented during my July 16, 2025, Routine Unannounced visit. K. Sosebee, Administrator, and S. Jones, Classroom Coordinator, assisted me with today’s visit. Upon arrival, children were transitioning inside from the outdoor spaces. Children drank water from individually labeled water cups and bottles. Children throughout the center completed personal care routines before having a lunch that consisted of hot dogs, buns, French fries, mandarin oranges, and milk. The following violations documented during the 7/16/25 visit were monitored for compliance during this visit and repeated: 303- Children were not adequately supervised at all times. This is a violation of a requirement in .1801(a)(1-5). Today, while space #5 was transitioning from the outdoor space to the classroom, eleven (11) children entered the classroom unattended. A child was in the bathroom across the hallway from space #5 for several minutes while the staff member assigned to the space was inside the classroom and was unable to see or hear the child. 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. This is a violation of a requirement in 15A NCAC 18A .2803(c). Today, children in space #5 did not wash their hands after transitioning from outside and sat at the table to eat lunch. The following violations documented during the 7/16/25 visit were monitored for compliance during this visit and verified as corrected: 301- Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. This is a violation of a requirement in GS 110-91(7);.0713(a-e). Today, all classroom spaces were monitored and staff/child ratios were maintained at all times. 447- For children under two years of age, time and space for sleeping, eating, toileting, diaper changing, and playing was not provided according to child's needs. This is a violation of a requirement in .0511 (a). Today, when an infant fell asleep in a bouncer seat, a staff member immediately placed the child in a crib. 807- A safe indoor and outdoor environment was not provided for the children. This is a violation of a requirement in 10A NCAC 09 .0601(a). Today, I observed that the fence had been repaired and the landscaping fabric was completely covered by mulch. 847- Parent's medication authorization did not include required information. This is a violation of a requirement in 10A NCAC 09 .0803(4)(6 -9). Today, I observed that the medication had been sent home and not on file. Medications on file had correct written permission forms. 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. This is a violation of a requirement in .0803(12). Today, I observed that the medications had been sent home and not on file. Medications on file had correct written permission forms. 1032- Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. This is a violation of a requirement in 10A NCAC 09 .0701 (a). Today, I observed that the staff member hired on 5/1/25 had a medical report on file. 1033- On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. This is a violation of a requirement in .0701(a). Today, I observed that the staff member hired on 6/23/25 had a TB screening form that was signed by a physician. 1880- Prescribed medication was not administered according to the prescription, using the amount and frequency of dosage specified on the label. This is a violation of a requirement in .0803(2)(d). Today, I observed that the medication had been sent home and not on file. Medications on file had correct written permission forms. As stated in the 7/16/25 visit summary, all violations must be corrected immediately and a compliance letter verifying this must be received by the established due date. At the time of today’s visit, a compliance letter had not received. Today, I verified the correction of eight violations. Due to a violation regarding inadequate supervision documented on two consecutive visits, an administrative action may be recommended, and you will be notified in writing of any action taken. In addition, a follow-up visit will be conducted. The following violations were documented. Violation Number Comment Rule 303 Children were not adequately supervised at all times. While space #5 was transitioning from the outdoor space to the classroom, eleven (11) children entered the classroom unattended. A child was in the bathroom across the hallway from space #5 for several minutes while the staff member assigned to the space was inside the classroom and was unable to see or hear the child. .1801(a)(1-5) 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. Children in space #5 did not wash their hands after transitioning from outside and sat at the table to eat lunch. 15A NCAC 18A .2803(c) 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. A staff member assigned to space #5 was heard and seen speaking to children in harsh tones with statements of “No, I said no”, “because I said so”, “turn around”, “stop, wash your hands”, “turn on the water”, and “lay down now”. G.S. 110-91(10) 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 8/13/25, 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: Supervision/Handwashing: Caregivers/teachers should directly supervise infants, toddlers, and preschoolers by sight and hearing at all times, even when the children are going to sleep, napping or sleeping, are beginning to wake up, or are indoors or outdoors. When staff connect deeply with the children in their care, they are more in tune to children’s needs and whereabouts. Ultimately, carefully planned environments; staffing that supports nurturing, individualized, and engaged caregiving; and well-planned, responsive care routines support active supervision in classroom environments. Today, there were lapses of supervision when space #5 was transitioning inside from the outdoor space. We discussed again that children must always remain with staff members and gather all the children together before transitioning into the indoors and call for assistance if assistance is needed so that children are not entering the classroom before the staff member. You stated that a second staff member is assigned to the space to help with transitions but did not transition with the class today. The children did not wash their hands when they entered the facility from outside and sat at the table to eat lunch. We discussed again that because there is not a sink in the classroom to take the children immediately to the bathrooms before going to the classroom as this routine will be an easier transition as the bathrooms are directly inside the door to the outdoors. This easier transition will also ensure that children are washing their hands as soon as they enter the facility and removing germs before entering the classroom. We also discussed again that it would be helpful for the teachers to have walkie talkies to be able to request assistance when needed. We discussed that children have to be supervised when they leave the classroom to go to the bathrooms that are located in the hallway. When there are two staff members in the classroom, one staff member can assist the child in the bathroom, while one staff member remains in the classroom or all the children can take a bathroom break. Make classroom observations to ensure that transitions are smooth with adequate supervision and handwashing. Discipline/Nurture and Care: Caregivers/teachers should guide children to develop self-control and appropriate behaviors in the context of relationships with peers and adults. Caregivers/teachers should care for children without ever resorting to physical punishment or abusive language. When a child needs assistance to resolve a conflict, manage a transition, engage in a challenging situation, or express feelings, needs, and wants, the adult should help the child learn strategies for dealing with the situation. A staff member assigned to space #5 was heard and seen speaking to children in harsh tones with statements of “No, I said no”, “because I said so”, “turn around”, “stop, wash your hands”, “turn on the water”, and “lay down now”. You stated that you have spoken to the staff member several times about her tone and have modeled interactions. I spoke with the staff member about tone and voice level and that the children respond better to soft tones and to model what is being asked of the children. We also discussed that there are trainings available on challenging behaviors to learn new techniques. I provided you with the challenging behavior helpline to be able to call and get guidance. We reviewed the training schedule for Craven Smart Start at trainings for interactions, challenging behaviors, and interactions. Reach out to the Challenging Behaviors Helpline or take a training to get guidance on how to manage challenging behaviors. Additional Comments: From the Raise NC Newsletter: Setting Up an Effective Classroom Environment: Tuesday, August 19 | 7-8 p.m. Meeting Link: https://ccrinc.zoom.us/j/3677997738 Meeting ID: 367 799 7738 Join us to talk about ideal ways to set up your classroom, daily schedules, how to organize centers, making rules, and job charts. Join us in the discussion of strategies to use in the new year. A free, talk-to-the-experts webinar, presented by Healthy Social Behaviors Helpline advisors! 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, (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 .0701 · Violation

Name of Operation: LATITUDE KIDS CARE Facility ID: 25000584 Consultant: BRITTANY JONES Operation Type: Center Case Number: Visit Date: 7/30/2025 Number Present: 47 Completed Date: 7/30/2025 Age: From 0 To 5 Total Minutes: 300 Time In: 10:00 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to verify correction of violations documented during my July 16, 2025, Routine Unannounced visit. K. Sosebee, Administrator, and S. Jones, Classroom Coordinator, assisted me with today’s visit. Upon arrival, children were transitioning inside from the outdoor spaces. Children drank water from individually labeled water cups and bottles. Children throughout the center completed personal care routines before having a lunch that consisted of hot dogs, buns, French fries, mandarin oranges, and milk. The following violations documented during the 7/16/25 visit were monitored for compliance during this visit and repeated: 303- Children were not adequately supervised at all times. This is a violation of a requirement in .1801(a)(1-5). Today, while space #5 was transitioning from the outdoor space to the classroom, eleven (11) children entered the classroom unattended. A child was in the bathroom across the hallway from space #5 for several minutes while the staff member assigned to the space was inside the classroom and was unable to see or hear the child. 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. This is a violation of a requirement in 15A NCAC 18A .2803(c). Today, children in space #5 did not wash their hands after transitioning from outside and sat at the table to eat lunch. The following violations documented during the 7/16/25 visit were monitored for compliance during this visit and verified as corrected: 301- Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. This is a violation of a requirement in GS 110-91(7);.0713(a-e). Today, all classroom spaces were monitored and staff/child ratios were maintained at all times. 447- For children under two years of age, time and space for sleeping, eating, toileting, diaper changing, and playing was not provided according to child's needs. This is a violation of a requirement in .0511 (a). Today, when an infant fell asleep in a bouncer seat, a staff member immediately placed the child in a crib. 807- A safe indoor and outdoor environment was not provided for the children. This is a violation of a requirement in 10A NCAC 09 .0601(a). Today, I observed that the fence had been repaired and the landscaping fabric was completely covered by mulch. 847- Parent's medication authorization did not include required information. This is a violation of a requirement in 10A NCAC 09 .0803(4)(6 -9). Today, I observed that the medication had been sent home and not on file. Medications on file had correct written permission forms. 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. This is a violation of a requirement in .0803(12). Today, I observed that the medications had been sent home and not on file. Medications on file had correct written permission forms. 1032- Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. This is a violation of a requirement in 10A NCAC 09 .0701 (a). Today, I observed that the staff member hired on 5/1/25 had a medical report on file. 1033- On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. This is a violation of a requirement in .0701(a). Today, I observed that the staff member hired on 6/23/25 had a TB screening form that was signed by a physician. 1880- Prescribed medication was not administered according to the prescription, using the amount and frequency of dosage specified on the label. This is a violation of a requirement in .0803(2)(d). Today, I observed that the medication had been sent home and not on file. Medications on file had correct written permission forms. As stated in the 7/16/25 visit summary, all violations must be corrected immediately and a compliance letter verifying this must be received by the established due date. At the time of today’s visit, a compliance letter had not received. Today, I verified the correction of eight violations. Due to a violation regarding inadequate supervision documented on two consecutive visits, an administrative action may be recommended, and you will be notified in writing of any action taken. In addition, a follow-up visit will be conducted. The following violations were documented. Violation Number Comment Rule 303 Children were not adequately supervised at all times. While space #5 was transitioning from the outdoor space to the classroom, eleven (11) children entered the classroom unattended. A child was in the bathroom across the hallway from space #5 for several minutes while the staff member assigned to the space was inside the classroom and was unable to see or hear the child. .1801(a)(1-5) 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. Children in space #5 did not wash their hands after transitioning from outside and sat at the table to eat lunch. 15A NCAC 18A .2803(c) 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. A staff member assigned to space #5 was heard and seen speaking to children in harsh tones with statements of “No, I said no”, “because I said so”, “turn around”, “stop, wash your hands”, “turn on the water”, and “lay down now”. G.S. 110-91(10) 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 8/13/25, 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: Supervision/Handwashing: Caregivers/teachers should directly supervise infants, toddlers, and preschoolers by sight and hearing at all times, even when the children are going to sleep, napping or sleeping, are beginning to wake up, or are indoors or outdoors. When staff connect deeply with the children in their care, they are more in tune to children’s needs and whereabouts. Ultimately, carefully planned environments; staffing that supports nurturing, individualized, and engaged caregiving; and well-planned, responsive care routines support active supervision in classroom environments. Today, there were lapses of supervision when space #5 was transitioning inside from the outdoor space. We discussed again that children must always remain with staff members and gather all the children together before transitioning into the indoors and call for assistance if assistance is needed so that children are not entering the classroom before the staff member. You stated that a second staff member is assigned to the space to help with transitions but did not transition with the class today. The children did not wash their hands when they entered the facility from outside and sat at the table to eat lunch. We discussed again that because there is not a sink in the classroom to take the children immediately to the bathrooms before going to the classroom as this routine will be an easier transition as the bathrooms are directly inside the door to the outdoors. This easier transition will also ensure that children are washing their hands as soon as they enter the facility and removing germs before entering the classroom. We also discussed again that it would be helpful for the teachers to have walkie talkies to be able to request assistance when needed. We discussed that children have to be supervised when they leave the classroom to go to the bathrooms that are located in the hallway. When there are two staff members in the classroom, one staff member can assist the child in the bathroom, while one staff member remains in the classroom or all the children can take a bathroom break. Make classroom observations to ensure that transitions are smooth with adequate supervision and handwashing. Discipline/Nurture and Care: Caregivers/teachers should guide children to develop self-control and appropriate behaviors in the context of relationships with peers and adults. Caregivers/teachers should care for children without ever resorting to physical punishment or abusive language. When a child needs assistance to resolve a conflict, manage a transition, engage in a challenging situation, or express feelings, needs, and wants, the adult should help the child learn strategies for dealing with the situation. A staff member assigned to space #5 was heard and seen speaking to children in harsh tones with statements of “No, I said no”, “because I said so”, “turn around”, “stop, wash your hands”, “turn on the water”, and “lay down now”. You stated that you have spoken to the staff member several times about her tone and have modeled interactions. I spoke with the staff member about tone and voice level and that the children respond better to soft tones and to model what is being asked of the children. We also discussed that there are trainings available on challenging behaviors to learn new techniques. I provided you with the challenging behavior helpline to be able to call and get guidance. We reviewed the training schedule for Craven Smart Start at trainings for interactions, challenging behaviors, and interactions. Reach out to the Challenging Behaviors Helpline or take a training to get guidance on how to manage challenging behaviors. Additional Comments: From the Raise NC Newsletter: Setting Up an Effective Classroom Environment: Tuesday, August 19 | 7-8 p.m. Meeting Link: https://ccrinc.zoom.us/j/3677997738 Meeting ID: 367 799 7738 Join us to talk about ideal ways to set up your classroom, daily schedules, how to organize centers, making rules, and job charts. Join us in the discussion of strategies to use in the new year. A free, talk-to-the-experts webinar, presented by Healthy Social Behaviors Helpline advisors! 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, (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: LATITUDE KIDS CARE Facility ID: 25000584 Consultant: BRITTANY JONES Operation Type: Center Case Number: Visit Date: 7/30/2025 Number Present: 47 Completed Date: 7/30/2025 Age: From 0 To 5 Total Minutes: 300 Time In: 10:00 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to verify correction of violations documented during my July 16, 2025, Routine Unannounced visit. K. Sosebee, Administrator, and S. Jones, Classroom Coordinator, assisted me with today’s visit. Upon arrival, children were transitioning inside from the outdoor spaces. Children drank water from individually labeled water cups and bottles. Children throughout the center completed personal care routines before having a lunch that consisted of hot dogs, buns, French fries, mandarin oranges, and milk. The following violations documented during the 7/16/25 visit were monitored for compliance during this visit and repeated: 303- Children were not adequately supervised at all times. This is a violation of a requirement in .1801(a)(1-5). Today, while space #5 was transitioning from the outdoor space to the classroom, eleven (11) children entered the classroom unattended. A child was in the bathroom across the hallway from space #5 for several minutes while the staff member assigned to the space was inside the classroom and was unable to see or hear the child. 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. This is a violation of a requirement in 15A NCAC 18A .2803(c). Today, children in space #5 did not wash their hands after transitioning from outside and sat at the table to eat lunch. The following violations documented during the 7/16/25 visit were monitored for compliance during this visit and verified as corrected: 301- Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. This is a violation of a requirement in GS 110-91(7);.0713(a-e). Today, all classroom spaces were monitored and staff/child ratios were maintained at all times. 447- For children under two years of age, time and space for sleeping, eating, toileting, diaper changing, and playing was not provided according to child's needs. This is a violation of a requirement in .0511 (a). Today, when an infant fell asleep in a bouncer seat, a staff member immediately placed the child in a crib. 807- A safe indoor and outdoor environment was not provided for the children. This is a violation of a requirement in 10A NCAC 09 .0601(a). Today, I observed that the fence had been repaired and the landscaping fabric was completely covered by mulch. 847- Parent's medication authorization did not include required information. This is a violation of a requirement in 10A NCAC 09 .0803(4)(6 -9). Today, I observed that the medication had been sent home and not on file. Medications on file had correct written permission forms. 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. This is a violation of a requirement in .0803(12). Today, I observed that the medications had been sent home and not on file. Medications on file had correct written permission forms. 1032- Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. This is a violation of a requirement in 10A NCAC 09 .0701 (a). Today, I observed that the staff member hired on 5/1/25 had a medical report on file. 1033- On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. This is a violation of a requirement in .0701(a). Today, I observed that the staff member hired on 6/23/25 had a TB screening form that was signed by a physician. 1880- Prescribed medication was not administered according to the prescription, using the amount and frequency of dosage specified on the label. This is a violation of a requirement in .0803(2)(d). Today, I observed that the medication had been sent home and not on file. Medications on file had correct written permission forms. As stated in the 7/16/25 visit summary, all violations must be corrected immediately and a compliance letter verifying this must be received by the established due date. At the time of today’s visit, a compliance letter had not received. Today, I verified the correction of eight violations. Due to a violation regarding inadequate supervision documented on two consecutive visits, an administrative action may be recommended, and you will be notified in writing of any action taken. In addition, a follow-up visit will be conducted. The following violations were documented. Violation Number Comment Rule 303 Children were not adequately supervised at all times. While space #5 was transitioning from the outdoor space to the classroom, eleven (11) children entered the classroom unattended. A child was in the bathroom across the hallway from space #5 for several minutes while the staff member assigned to the space was inside the classroom and was unable to see or hear the child. .1801(a)(1-5) 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. Children in space #5 did not wash their hands after transitioning from outside and sat at the table to eat lunch. 15A NCAC 18A .2803(c) 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. A staff member assigned to space #5 was heard and seen speaking to children in harsh tones with statements of “No, I said no”, “because I said so”, “turn around”, “stop, wash your hands”, “turn on the water”, and “lay down now”. G.S. 110-91(10) 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 8/13/25, 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: Supervision/Handwashing: Caregivers/teachers should directly supervise infants, toddlers, and preschoolers by sight and hearing at all times, even when the children are going to sleep, napping or sleeping, are beginning to wake up, or are indoors or outdoors. When staff connect deeply with the children in their care, they are more in tune to children’s needs and whereabouts. Ultimately, carefully planned environments; staffing that supports nurturing, individualized, and engaged caregiving; and well-planned, responsive care routines support active supervision in classroom environments. Today, there were lapses of supervision when space #5 was transitioning inside from the outdoor space. We discussed again that children must always remain with staff members and gather all the children together before transitioning into the indoors and call for assistance if assistance is needed so that children are not entering the classroom before the staff member. You stated that a second staff member is assigned to the space to help with transitions but did not transition with the class today. The children did not wash their hands when they entered the facility from outside and sat at the table to eat lunch. We discussed again that because there is not a sink in the classroom to take the children immediately to the bathrooms before going to the classroom as this routine will be an easier transition as the bathrooms are directly inside the door to the outdoors. This easier transition will also ensure that children are washing their hands as soon as they enter the facility and removing germs before entering the classroom. We also discussed again that it would be helpful for the teachers to have walkie talkies to be able to request assistance when needed. We discussed that children have to be supervised when they leave the classroom to go to the bathrooms that are located in the hallway. When there are two staff members in the classroom, one staff member can assist the child in the bathroom, while one staff member remains in the classroom or all the children can take a bathroom break. Make classroom observations to ensure that transitions are smooth with adequate supervision and handwashing. Discipline/Nurture and Care: Caregivers/teachers should guide children to develop self-control and appropriate behaviors in the context of relationships with peers and adults. Caregivers/teachers should care for children without ever resorting to physical punishment or abusive language. When a child needs assistance to resolve a conflict, manage a transition, engage in a challenging situation, or express feelings, needs, and wants, the adult should help the child learn strategies for dealing with the situation. A staff member assigned to space #5 was heard and seen speaking to children in harsh tones with statements of “No, I said no”, “because I said so”, “turn around”, “stop, wash your hands”, “turn on the water”, and “lay down now”. You stated that you have spoken to the staff member several times about her tone and have modeled interactions. I spoke with the staff member about tone and voice level and that the children respond better to soft tones and to model what is being asked of the children. We also discussed that there are trainings available on challenging behaviors to learn new techniques. I provided you with the challenging behavior helpline to be able to call and get guidance. We reviewed the training schedule for Craven Smart Start at trainings for interactions, challenging behaviors, and interactions. Reach out to the Challenging Behaviors Helpline or take a training to get guidance on how to manage challenging behaviors. Additional Comments: From the Raise NC Newsletter: Setting Up an Effective Classroom Environment: Tuesday, August 19 | 7-8 p.m. Meeting Link: https://ccrinc.zoom.us/j/3677997738 Meeting ID: 367 799 7738 Join us to talk about ideal ways to set up your classroom, daily schedules, how to organize centers, making rules, and job charts. Join us in the discussion of strategies to use in the new year. A free, talk-to-the-experts webinar, presented by Healthy Social Behaviors Helpline advisors! 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, (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

G.S. 110-91 · Violation

Name of Operation: LATITUDE KIDS CARE Facility ID: 25000584 Consultant: BRITTANY JONES Operation Type: Center Case Number: Visit Date: 7/30/2025 Number Present: 47 Completed Date: 7/30/2025 Age: From 0 To 5 Total Minutes: 300 Time In: 10:00 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to verify correction of violations documented during my July 16, 2025, Routine Unannounced visit. K. Sosebee, Administrator, and S. Jones, Classroom Coordinator, assisted me with today’s visit. Upon arrival, children were transitioning inside from the outdoor spaces. Children drank water from individually labeled water cups and bottles. Children throughout the center completed personal care routines before having a lunch that consisted of hot dogs, buns, French fries, mandarin oranges, and milk. The following violations documented during the 7/16/25 visit were monitored for compliance during this visit and repeated: 303- Children were not adequately supervised at all times. This is a violation of a requirement in .1801(a)(1-5). Today, while space #5 was transitioning from the outdoor space to the classroom, eleven (11) children entered the classroom unattended. A child was in the bathroom across the hallway from space #5 for several minutes while the staff member assigned to the space was inside the classroom and was unable to see or hear the child. 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. This is a violation of a requirement in 15A NCAC 18A .2803(c). Today, children in space #5 did not wash their hands after transitioning from outside and sat at the table to eat lunch. The following violations documented during the 7/16/25 visit were monitored for compliance during this visit and verified as corrected: 301- Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. This is a violation of a requirement in GS 110-91(7);.0713(a-e). Today, all classroom spaces were monitored and staff/child ratios were maintained at all times. 447- For children under two years of age, time and space for sleeping, eating, toileting, diaper changing, and playing was not provided according to child's needs. This is a violation of a requirement in .0511 (a). Today, when an infant fell asleep in a bouncer seat, a staff member immediately placed the child in a crib. 807- A safe indoor and outdoor environment was not provided for the children. This is a violation of a requirement in 10A NCAC 09 .0601(a). Today, I observed that the fence had been repaired and the landscaping fabric was completely covered by mulch. 847- Parent's medication authorization did not include required information. This is a violation of a requirement in 10A NCAC 09 .0803(4)(6 -9). Today, I observed that the medication had been sent home and not on file. Medications on file had correct written permission forms. 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. This is a violation of a requirement in .0803(12). Today, I observed that the medications had been sent home and not on file. Medications on file had correct written permission forms. 1032- Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. This is a violation of a requirement in 10A NCAC 09 .0701 (a). Today, I observed that the staff member hired on 5/1/25 had a medical report on file. 1033- On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. This is a violation of a requirement in .0701(a). Today, I observed that the staff member hired on 6/23/25 had a TB screening form that was signed by a physician. 1880- Prescribed medication was not administered according to the prescription, using the amount and frequency of dosage specified on the label. This is a violation of a requirement in .0803(2)(d). Today, I observed that the medication had been sent home and not on file. Medications on file had correct written permission forms. As stated in the 7/16/25 visit summary, all violations must be corrected immediately and a compliance letter verifying this must be received by the established due date. At the time of today’s visit, a compliance letter had not received. Today, I verified the correction of eight violations. Due to a violation regarding inadequate supervision documented on two consecutive visits, an administrative action may be recommended, and you will be notified in writing of any action taken. In addition, a follow-up visit will be conducted. The following violations were documented. Violation Number Comment Rule 303 Children were not adequately supervised at all times. While space #5 was transitioning from the outdoor space to the classroom, eleven (11) children entered the classroom unattended. A child was in the bathroom across the hallway from space #5 for several minutes while the staff member assigned to the space was inside the classroom and was unable to see or hear the child. .1801(a)(1-5) 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. Children in space #5 did not wash their hands after transitioning from outside and sat at the table to eat lunch. 15A NCAC 18A .2803(c) 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. A staff member assigned to space #5 was heard and seen speaking to children in harsh tones with statements of “No, I said no”, “because I said so”, “turn around”, “stop, wash your hands”, “turn on the water”, and “lay down now”. G.S. 110-91(10) 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 8/13/25, 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: Supervision/Handwashing: Caregivers/teachers should directly supervise infants, toddlers, and preschoolers by sight and hearing at all times, even when the children are going to sleep, napping or sleeping, are beginning to wake up, or are indoors or outdoors. When staff connect deeply with the children in their care, they are more in tune to children’s needs and whereabouts. Ultimately, carefully planned environments; staffing that supports nurturing, individualized, and engaged caregiving; and well-planned, responsive care routines support active supervision in classroom environments. Today, there were lapses of supervision when space #5 was transitioning inside from the outdoor space. We discussed again that children must always remain with staff members and gather all the children together before transitioning into the indoors and call for assistance if assistance is needed so that children are not entering the classroom before the staff member. You stated that a second staff member is assigned to the space to help with transitions but did not transition with the class today. The children did not wash their hands when they entered the facility from outside and sat at the table to eat lunch. We discussed again that because there is not a sink in the classroom to take the children immediately to the bathrooms before going to the classroom as this routine will be an easier transition as the bathrooms are directly inside the door to the outdoors. This easier transition will also ensure that children are washing their hands as soon as they enter the facility and removing germs before entering the classroom. We also discussed again that it would be helpful for the teachers to have walkie talkies to be able to request assistance when needed. We discussed that children have to be supervised when they leave the classroom to go to the bathrooms that are located in the hallway. When there are two staff members in the classroom, one staff member can assist the child in the bathroom, while one staff member remains in the classroom or all the children can take a bathroom break. Make classroom observations to ensure that transitions are smooth with adequate supervision and handwashing. Discipline/Nurture and Care: Caregivers/teachers should guide children to develop self-control and appropriate behaviors in the context of relationships with peers and adults. Caregivers/teachers should care for children without ever resorting to physical punishment or abusive language. When a child needs assistance to resolve a conflict, manage a transition, engage in a challenging situation, or express feelings, needs, and wants, the adult should help the child learn strategies for dealing with the situation. A staff member assigned to space #5 was heard and seen speaking to children in harsh tones with statements of “No, I said no”, “because I said so”, “turn around”, “stop, wash your hands”, “turn on the water”, and “lay down now”. You stated that you have spoken to the staff member several times about her tone and have modeled interactions. I spoke with the staff member about tone and voice level and that the children respond better to soft tones and to model what is being asked of the children. We also discussed that there are trainings available on challenging behaviors to learn new techniques. I provided you with the challenging behavior helpline to be able to call and get guidance. We reviewed the training schedule for Craven Smart Start at trainings for interactions, challenging behaviors, and interactions. Reach out to the Challenging Behaviors Helpline or take a training to get guidance on how to manage challenging behaviors. Additional Comments: From the Raise NC Newsletter: Setting Up an Effective Classroom Environment: Tuesday, August 19 | 7-8 p.m. Meeting Link: https://ccrinc.zoom.us/j/3677997738 Meeting ID: 367 799 7738 Join us to talk about ideal ways to set up your classroom, daily schedules, how to organize centers, making rules, and job charts. Join us in the discussion of strategies to use in the new year. A free, talk-to-the-experts webinar, presented by Healthy Social Behaviors Helpline advisors! 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, (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

GS 110-91 · Violation

Name of Operation: LATITUDE KIDS CARE Facility ID: 25000584 Consultant: BRITTANY JONES Operation Type: Center Case Number: Visit Date: 7/30/2025 Number Present: 47 Completed Date: 7/30/2025 Age: From 0 To 5 Total Minutes: 300 Time In: 10:00 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to verify correction of violations documented during my July 16, 2025, Routine Unannounced visit. K. Sosebee, Administrator, and S. Jones, Classroom Coordinator, assisted me with today’s visit. Upon arrival, children were transitioning inside from the outdoor spaces. Children drank water from individually labeled water cups and bottles. Children throughout the center completed personal care routines before having a lunch that consisted of hot dogs, buns, French fries, mandarin oranges, and milk. The following violations documented during the 7/16/25 visit were monitored for compliance during this visit and repeated: 303- Children were not adequately supervised at all times. This is a violation of a requirement in .1801(a)(1-5). Today, while space #5 was transitioning from the outdoor space to the classroom, eleven (11) children entered the classroom unattended. A child was in the bathroom across the hallway from space #5 for several minutes while the staff member assigned to the space was inside the classroom and was unable to see or hear the child. 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. This is a violation of a requirement in 15A NCAC 18A .2803(c). Today, children in space #5 did not wash their hands after transitioning from outside and sat at the table to eat lunch. The following violations documented during the 7/16/25 visit were monitored for compliance during this visit and verified as corrected: 301- Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. This is a violation of a requirement in GS 110-91(7);.0713(a-e). Today, all classroom spaces were monitored and staff/child ratios were maintained at all times. 447- For children under two years of age, time and space for sleeping, eating, toileting, diaper changing, and playing was not provided according to child's needs. This is a violation of a requirement in .0511 (a). Today, when an infant fell asleep in a bouncer seat, a staff member immediately placed the child in a crib. 807- A safe indoor and outdoor environment was not provided for the children. This is a violation of a requirement in 10A NCAC 09 .0601(a). Today, I observed that the fence had been repaired and the landscaping fabric was completely covered by mulch. 847- Parent's medication authorization did not include required information. This is a violation of a requirement in 10A NCAC 09 .0803(4)(6 -9). Today, I observed that the medication had been sent home and not on file. Medications on file had correct written permission forms. 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. This is a violation of a requirement in .0803(12). Today, I observed that the medications had been sent home and not on file. Medications on file had correct written permission forms. 1032- Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. This is a violation of a requirement in 10A NCAC 09 .0701 (a). Today, I observed that the staff member hired on 5/1/25 had a medical report on file. 1033- On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. This is a violation of a requirement in .0701(a). Today, I observed that the staff member hired on 6/23/25 had a TB screening form that was signed by a physician. 1880- Prescribed medication was not administered according to the prescription, using the amount and frequency of dosage specified on the label. This is a violation of a requirement in .0803(2)(d). Today, I observed that the medication had been sent home and not on file. Medications on file had correct written permission forms. As stated in the 7/16/25 visit summary, all violations must be corrected immediately and a compliance letter verifying this must be received by the established due date. At the time of today’s visit, a compliance letter had not received. Today, I verified the correction of eight violations. Due to a violation regarding inadequate supervision documented on two consecutive visits, an administrative action may be recommended, and you will be notified in writing of any action taken. In addition, a follow-up visit will be conducted. The following violations were documented. Violation Number Comment Rule 303 Children were not adequately supervised at all times. While space #5 was transitioning from the outdoor space to the classroom, eleven (11) children entered the classroom unattended. A child was in the bathroom across the hallway from space #5 for several minutes while the staff member assigned to the space was inside the classroom and was unable to see or hear the child. .1801(a)(1-5) 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. Children in space #5 did not wash their hands after transitioning from outside and sat at the table to eat lunch. 15A NCAC 18A .2803(c) 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. A staff member assigned to space #5 was heard and seen speaking to children in harsh tones with statements of “No, I said no”, “because I said so”, “turn around”, “stop, wash your hands”, “turn on the water”, and “lay down now”. G.S. 110-91(10) 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 8/13/25, 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: Supervision/Handwashing: Caregivers/teachers should directly supervise infants, toddlers, and preschoolers by sight and hearing at all times, even when the children are going to sleep, napping or sleeping, are beginning to wake up, or are indoors or outdoors. When staff connect deeply with the children in their care, they are more in tune to children’s needs and whereabouts. Ultimately, carefully planned environments; staffing that supports nurturing, individualized, and engaged caregiving; and well-planned, responsive care routines support active supervision in classroom environments. Today, there were lapses of supervision when space #5 was transitioning inside from the outdoor space. We discussed again that children must always remain with staff members and gather all the children together before transitioning into the indoors and call for assistance if assistance is needed so that children are not entering the classroom before the staff member. You stated that a second staff member is assigned to the space to help with transitions but did not transition with the class today. The children did not wash their hands when they entered the facility from outside and sat at the table to eat lunch. We discussed again that because there is not a sink in the classroom to take the children immediately to the bathrooms before going to the classroom as this routine will be an easier transition as the bathrooms are directly inside the door to the outdoors. This easier transition will also ensure that children are washing their hands as soon as they enter the facility and removing germs before entering the classroom. We also discussed again that it would be helpful for the teachers to have walkie talkies to be able to request assistance when needed. We discussed that children have to be supervised when they leave the classroom to go to the bathrooms that are located in the hallway. When there are two staff members in the classroom, one staff member can assist the child in the bathroom, while one staff member remains in the classroom or all the children can take a bathroom break. Make classroom observations to ensure that transitions are smooth with adequate supervision and handwashing. Discipline/Nurture and Care: Caregivers/teachers should guide children to develop self-control and appropriate behaviors in the context of relationships with peers and adults. Caregivers/teachers should care for children without ever resorting to physical punishment or abusive language. When a child needs assistance to resolve a conflict, manage a transition, engage in a challenging situation, or express feelings, needs, and wants, the adult should help the child learn strategies for dealing with the situation. A staff member assigned to space #5 was heard and seen speaking to children in harsh tones with statements of “No, I said no”, “because I said so”, “turn around”, “stop, wash your hands”, “turn on the water”, and “lay down now”. You stated that you have spoken to the staff member several times about her tone and have modeled interactions. I spoke with the staff member about tone and voice level and that the children respond better to soft tones and to model what is being asked of the children. We also discussed that there are trainings available on challenging behaviors to learn new techniques. I provided you with the challenging behavior helpline to be able to call and get guidance. We reviewed the training schedule for Craven Smart Start at trainings for interactions, challenging behaviors, and interactions. Reach out to the Challenging Behaviors Helpline or take a training to get guidance on how to manage challenging behaviors. Additional Comments: From the Raise NC Newsletter: Setting Up an Effective Classroom Environment: Tuesday, August 19 | 7-8 p.m. Meeting Link: https://ccrinc.zoom.us/j/3677997738 Meeting ID: 367 799 7738 Join us to talk about ideal ways to set up your classroom, daily schedules, how to organize centers, making rules, and job charts. Join us in the discussion of strategies to use in the new year. A free, talk-to-the-experts webinar, presented by Healthy Social Behaviors Helpline advisors! 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, (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: LATITUDE KIDS CARE Facility ID: 25000584 Consultant: BRITTANY JONES Operation Type: Center Case Number: Visit Date: 7/30/2025 Number Present: 47 Completed Date: 7/30/2025 Age: From 0 To 5 Total Minutes: 300 Time In: 10:00 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to verify correction of violations documented during my July 16, 2025, Routine Unannounced visit. K. Sosebee, Administrator, and S. Jones, Classroom Coordinator, assisted me with today’s visit. Upon arrival, children were transitioning inside from the outdoor spaces. Children drank water from individually labeled water cups and bottles. Children throughout the center completed personal care routines before having a lunch that consisted of hot dogs, buns, French fries, mandarin oranges, and milk. The following violations documented during the 7/16/25 visit were monitored for compliance during this visit and repeated: 303- Children were not adequately supervised at all times. This is a violation of a requirement in .1801(a)(1-5). Today, while space #5 was transitioning from the outdoor space to the classroom, eleven (11) children entered the classroom unattended. A child was in the bathroom across the hallway from space #5 for several minutes while the staff member assigned to the space was inside the classroom and was unable to see or hear the child. 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. This is a violation of a requirement in 15A NCAC 18A .2803(c). Today, children in space #5 did not wash their hands after transitioning from outside and sat at the table to eat lunch. The following violations documented during the 7/16/25 visit were monitored for compliance during this visit and verified as corrected: 301- Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. This is a violation of a requirement in GS 110-91(7);.0713(a-e). Today, all classroom spaces were monitored and staff/child ratios were maintained at all times. 447- For children under two years of age, time and space for sleeping, eating, toileting, diaper changing, and playing was not provided according to child's needs. This is a violation of a requirement in .0511 (a). Today, when an infant fell asleep in a bouncer seat, a staff member immediately placed the child in a crib. 807- A safe indoor and outdoor environment was not provided for the children. This is a violation of a requirement in 10A NCAC 09 .0601(a). Today, I observed that the fence had been repaired and the landscaping fabric was completely covered by mulch. 847- Parent's medication authorization did not include required information. This is a violation of a requirement in 10A NCAC 09 .0803(4)(6 -9). Today, I observed that the medication had been sent home and not on file. Medications on file had correct written permission forms. 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. This is a violation of a requirement in .0803(12). Today, I observed that the medications had been sent home and not on file. Medications on file had correct written permission forms. 1032- Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. This is a violation of a requirement in 10A NCAC 09 .0701 (a). Today, I observed that the staff member hired on 5/1/25 had a medical report on file. 1033- On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. This is a violation of a requirement in .0701(a). Today, I observed that the staff member hired on 6/23/25 had a TB screening form that was signed by a physician. 1880- Prescribed medication was not administered according to the prescription, using the amount and frequency of dosage specified on the label. This is a violation of a requirement in .0803(2)(d). Today, I observed that the medication had been sent home and not on file. Medications on file had correct written permission forms. As stated in the 7/16/25 visit summary, all violations must be corrected immediately and a compliance letter verifying this must be received by the established due date. At the time of today’s visit, a compliance letter had not received. Today, I verified the correction of eight violations. Due to a violation regarding inadequate supervision documented on two consecutive visits, an administrative action may be recommended, and you will be notified in writing of any action taken. In addition, a follow-up visit will be conducted. The following violations were documented. Violation Number Comment Rule 303 Children were not adequately supervised at all times. While space #5 was transitioning from the outdoor space to the classroom, eleven (11) children entered the classroom unattended. A child was in the bathroom across the hallway from space #5 for several minutes while the staff member assigned to the space was inside the classroom and was unable to see or hear the child. .1801(a)(1-5) 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. Children in space #5 did not wash their hands after transitioning from outside and sat at the table to eat lunch. 15A NCAC 18A .2803(c) 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. A staff member assigned to space #5 was heard and seen speaking to children in harsh tones with statements of “No, I said no”, “because I said so”, “turn around”, “stop, wash your hands”, “turn on the water”, and “lay down now”. G.S. 110-91(10) 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 8/13/25, 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: Supervision/Handwashing: Caregivers/teachers should directly supervise infants, toddlers, and preschoolers by sight and hearing at all times, even when the children are going to sleep, napping or sleeping, are beginning to wake up, or are indoors or outdoors. When staff connect deeply with the children in their care, they are more in tune to children’s needs and whereabouts. Ultimately, carefully planned environments; staffing that supports nurturing, individualized, and engaged caregiving; and well-planned, responsive care routines support active supervision in classroom environments. Today, there were lapses of supervision when space #5 was transitioning inside from the outdoor space. We discussed again that children must always remain with staff members and gather all the children together before transitioning into the indoors and call for assistance if assistance is needed so that children are not entering the classroom before the staff member. You stated that a second staff member is assigned to the space to help with transitions but did not transition with the class today. The children did not wash their hands when they entered the facility from outside and sat at the table to eat lunch. We discussed again that because there is not a sink in the classroom to take the children immediately to the bathrooms before going to the classroom as this routine will be an easier transition as the bathrooms are directly inside the door to the outdoors. This easier transition will also ensure that children are washing their hands as soon as they enter the facility and removing germs before entering the classroom. We also discussed again that it would be helpful for the teachers to have walkie talkies to be able to request assistance when needed. We discussed that children have to be supervised when they leave the classroom to go to the bathrooms that are located in the hallway. When there are two staff members in the classroom, one staff member can assist the child in the bathroom, while one staff member remains in the classroom or all the children can take a bathroom break. Make classroom observations to ensure that transitions are smooth with adequate supervision and handwashing. Discipline/Nurture and Care: Caregivers/teachers should guide children to develop self-control and appropriate behaviors in the context of relationships with peers and adults. Caregivers/teachers should care for children without ever resorting to physical punishment or abusive language. When a child needs assistance to resolve a conflict, manage a transition, engage in a challenging situation, or express feelings, needs, and wants, the adult should help the child learn strategies for dealing with the situation. A staff member assigned to space #5 was heard and seen speaking to children in harsh tones with statements of “No, I said no”, “because I said so”, “turn around”, “stop, wash your hands”, “turn on the water”, and “lay down now”. You stated that you have spoken to the staff member several times about her tone and have modeled interactions. I spoke with the staff member about tone and voice level and that the children respond better to soft tones and to model what is being asked of the children. We also discussed that there are trainings available on challenging behaviors to learn new techniques. I provided you with the challenging behavior helpline to be able to call and get guidance. We reviewed the training schedule for Craven Smart Start at trainings for interactions, challenging behaviors, and interactions. Reach out to the Challenging Behaviors Helpline or take a training to get guidance on how to manage challenging behaviors. Additional Comments: From the Raise NC Newsletter: Setting Up an Effective Classroom Environment: Tuesday, August 19 | 7-8 p.m. Meeting Link: https://ccrinc.zoom.us/j/3677997738 Meeting ID: 367 799 7738 Join us to talk about ideal ways to set up your classroom, daily schedules, how to organize centers, making rules, and job charts. Join us in the discussion of strategies to use in the new year. A free, talk-to-the-experts webinar, presented by Healthy Social Behaviors Helpline advisors! 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, (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 .0601 · Violation

Name of Operation: LATITUDE KIDS CARE Facility ID: 25000584 Consultant: BRITTANY JONES Operation Type: Center Case Number: Visit Date: 7/16/2025 Number Present: 42 Completed Date: 7/16/2025 Age: From 0 To 5 Total Minutes: 386 Time In: 09:34 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with the applicable child care requirements for a routine unannounced visit. K. Sosebee, Administrator, and S. Jones, Classroom Coordinator, assisted me with today’s visit. Your program currently operates with a Notice of Compliance effective 5/8/2020. The last annual compliance visit was conducted 1/8/25. The sanitation inspection was completed on 5/2/25 with a “Superior” classification. The last fire inspection was conducted on 8/27/24. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty percent as of 7/11/25. The NC Secretary of State website was reviewed on 7/11/25 and this facility is not currently owned or operated by a corporation. Please contact me prior to and changes regarding the ownership of this facility. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website and you stated that the facility’s email address is now kristal@latitude.church. You stated that you are the acting administrator as the previous administrator had moved. I provided you with a preservice form for administrators to complete and return to me. You visited each indoor and outdoor space with me. Children throughout the facility were participating in free play, transitions, and personal care routines. Infants were napping and being care for according to individual needs. Toddlers and preschoolers were observed in the outdoor space climbing on the stationary equipment and riding on trikes. The outdoor space was observed to have portable houses, riding toys, and balls for the children to engage in gross motor activities. Lunch was observed and included hot dogs, French fries, mandarin oranges, and milk. The following violations were documented. Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. While space #4 was in the outdoor space, one staff member walked inside to get water cups leaving seven (7) children, one year of age, in care with one staff member for several minutes. GS 110-91(7);.0713(a-d) 303 Children were not adequately supervised at all times. While space #5 was transitioning from the outdoor space to the classroom, the staff member assigned to the space remained by the door to the outdoor space while seven (7) children went across the large lobby and into the classroom and were unattended for several minutes. .1801(a)(1-5) 447 For children under two years of age, time and space for sleeping, eating, toileting, diaper changing, and playing was not provided according to child's needs. An infant was observed sleeping in a bouncer in space #3. .0511 (a) 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. Children in space #5 did not wash their hands after playing outside. 15A NCAC 18A .2803(c) 807 A safe indoor and outdoor environment was not provided for the children. There were several nails protruding from the fence beside the back gate creating sharp edges. The landscaping fabric under the mulch on the preschool outdoor space was exposed in several areas causing a tripping hazard. 10A NCAC 09 .0601(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. In space #5, aerosol containers of Coppertone Kids Sunscreen and Banana Boat Kids Free Sunscreen were stored in cabinet but not locked. .2820(b) 847 Parent's medication authorization did not include required information. In space #3, a tube of Nystatin had written permission on a form for over-the-counter topical creams. 10A NCAC 09 .0803(4)(6-9) 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 #4, a bottle of children’s ibuprofen was on file with written permission that expired 5/29/25. In space #3, a bottle of children’s cough syrup was on file with written permission that expired 7/12/25. .0803(12) 860 Balloons were accessible to children. Two balloon towers were observed immediately when entering the center. .0604(q) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff member hired on 6/23/25 had a medical report on file dated 6/26/25. A staff member hired on 5/1/25 did not have a medical report on file. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One staff member hired on 6/23/25 had a TB screening form that was not signed by a physician. .0701(a) 1880 Prescribed medication was not administered according to the prescription, using the amount and frequency of dosage specified on the label. In space #1, a Ventolin HFA inhaler was on file with a prescription label dated 6/10/25 to administer the medication for seven (7) days. .0803(2)(d) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 7/30/25, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: 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: Staff/Child Ratio: A staff-to-child ratio is a measure of the number of children for whom each child care provider is responsible. Because younger children need more direct one-on-one interaction, response, and supervision, staff-to-child ratios are lower for younger children than for older ones. Ratio and group size are two factors that are critical to a child’s health, safety, and development. Ratios and group sizes help ensure that a child gets enough one-on-one attention from an adult who is available to take care of each child’s unique needs. This responsive caregiving is extremely important to a child's social and emotional development, physical well-being, and overall learning. While space #4 was in the outdoor space, one staff member walked inside to get water cups leaving seven (7) children in care with one staff member for several minutes. We discussed that a communication system, such as phones or walkie talkies, can be utilized so it is easy for teachers to inform others when they need assistance. I discussed with the staff members in the classroom that they could bring a child with them to retrieve the water cups so that ratios are maintained. You stated that you have walkie talkies in the office that can be charged and distributed to staff members. Ensure that all staff members have access to a walkie talkie at all times to be able to call for immediate assistance when needed. Supervision: Adequate supervision of children is essential to keep children safe from accidents and injuries. Staff must remain with the children assigned to them at all times. Leaving a child or a group of children alone is unacceptable. Younger children need closer supervision to remain safe. Active supervision requires focused attention and intentional observation of children at all times. Caregivers/teachers position themselves so that they can observe all of the children: watching, counting, and listening at all times. Supervision is directly tied to safety and the prevention of injury and maintaining quality child care for infants, toddlers, preschoolers, and school-aged children. While space #5 was transitioning from the outdoor space to the classroom, the staff member assigned to the space remained by the door to the outdoor space while seven (7) children went into the classroom and were unattended for several minutes. We discussed that children must always remain with staff members and gather all the children together before transitioning into the indoors and call for assistance if assistance is needed. You stated that the staff member today was a substitute as the lead teacher was absent today and wasn’t as familiar with transitioning. You stated that you are scheduling one-on-one meetings with all staff members and will address supervision. Make classroom observations to follow up on the meetings and ensure that supervision is maintained during transitions. We discussed that a follow up visit will be conducted and that repeated supervision or staff child ratio violations could warrant an administrative action. 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. Medication permission forms are valid for a defined length of time and must be updated, if needed. In space #4, a bottle of children’s ibuprofen was on file with written permission that expired 5/29/25. In space #3, a bottle of children’s cough syrup was on file with written permission that expired 7/12/25. In space #3, a tube of Nystatin had written permission on a form for over-the-counter topical creams. In space #1, a Ventolin HFA inhaler was on file with a prescription label dated 6/10/25 to administer the medication for seven (7) days. I observed that you have created a list of medications with the expiration dates of the forms for each room. You stated that you are in the process of updating the charts and we discussed that it would be helpful for one person to accept and review medication forms. I shared with you a medication flyer to review when accepting medication. Ensure that medications are checked frequently to ensure that medication permission forms are updated before they expire and documented on the correct form. Infants Sleeping in Unapproved Devices: Infants must be placed on their backs to sleep and their tummies to play. Infants who fall asleep at any place that is not a crib must be moved and placed to sleep on their backs in a crib. Examples of places where infants may not be left to sleep are car seats, high chairs, swings, and infant seats. An infant was observed sleeping in a bouncer in space #3. When this was brought to your attention, the infant was picked up and placed in the assigned crib. You stated that the child is active and wakes when transferred to the crib. Review this requirement with all staff who work in your infant classroom to ensure they understand that children must be put in a crib when they are asleep. Sanitation for Child Care Facilities: Children shall wash hands upon arrival at the child care center; after each diaper change or visit the toilet; before eating meals or snacks; before and after water play; after outdoor activity; and after handling animals or animal cages. Except for diapering and before eating meals or snacks, hand sanitizing products may be used in lieu of handwashing while children are outdoors if hands are washed upon returning indoors. Children in space #5 did not wash their hands after playing outside. We discussed that since there is not a sink in the classroom to take the children immediately to the bathrooms before going to the classroom as this routine will be an easier transition as the bathrooms are directly inside the door to the outdoors. Make classroom observations to ensure that children are washing their hands when they transition inside and before they begin playing. Staff Records: The health and safety of children requires that information regarding each staff working with the children should be kept and available when needed. Staff records consist of various documentation to include emergency contact information. A Staff Medical Report and TB Screening/Test is due for new employees by their first day of work to ensure they are physically, mentally, and emotionally well enough to care for children in a busy, rigorous environment. One staff member hired on 6/23/25 had a medical report on file dated 6/26/25 and a TB screening form that was not signed by a physician. A staff member hired on 5/1/25 did not have a medical report on file. Use the current Staff and Training Worksheet to help you verify that all required forms are on file. Placing each form in the same order as the worksheet makes it even quicker and easier to review files and update the worksheet. Outdoor 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. There were several nails protruding from the fence beside the back gate creating sharp edges. The landscaping fabric under the mulch on the preschool outdoor space was exposed in several areas causing a tripping hazard. During the visit, you spoke with a maintenance staff member about fixing these areas. We discussed that it would be helpful to complete monthly outdoor inspections even though you are not required to document them. Check the outdoor spaces daily for hazards. Storage of Hazardous Items: Intentional planning of the environment ensures a safe environment has been created which prevents and reduces injuries to young children. In space #5, aerosol containers of Coppertone Kids Sunscreen and Banana Boat Kids Free Sunscreen were stored in cabinet but not locked. You locked the cabinet when it was brought to your attention to correct the violation. Two balloon towers were observed immediately when entering the center. You immediately removed the balloon towers when it was brought to your attention to correct the violation. Check all spaces for hazards before children arrive each day. Additional Comments: Fire Inspection: We discussed that a fire inspection is due by 8/27/25. 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. 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. 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 .0701 · Violation

Name of Operation: LATITUDE KIDS CARE Facility ID: 25000584 Consultant: BRITTANY JONES Operation Type: Center Case Number: Visit Date: 7/16/2025 Number Present: 42 Completed Date: 7/16/2025 Age: From 0 To 5 Total Minutes: 386 Time In: 09:34 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with the applicable child care requirements for a routine unannounced visit. K. Sosebee, Administrator, and S. Jones, Classroom Coordinator, assisted me with today’s visit. Your program currently operates with a Notice of Compliance effective 5/8/2020. The last annual compliance visit was conducted 1/8/25. The sanitation inspection was completed on 5/2/25 with a “Superior” classification. The last fire inspection was conducted on 8/27/24. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty percent as of 7/11/25. The NC Secretary of State website was reviewed on 7/11/25 and this facility is not currently owned or operated by a corporation. Please contact me prior to and changes regarding the ownership of this facility. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website and you stated that the facility’s email address is now kristal@latitude.church. You stated that you are the acting administrator as the previous administrator had moved. I provided you with a preservice form for administrators to complete and return to me. You visited each indoor and outdoor space with me. Children throughout the facility were participating in free play, transitions, and personal care routines. Infants were napping and being care for according to individual needs. Toddlers and preschoolers were observed in the outdoor space climbing on the stationary equipment and riding on trikes. The outdoor space was observed to have portable houses, riding toys, and balls for the children to engage in gross motor activities. Lunch was observed and included hot dogs, French fries, mandarin oranges, and milk. The following violations were documented. Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. While space #4 was in the outdoor space, one staff member walked inside to get water cups leaving seven (7) children, one year of age, in care with one staff member for several minutes. GS 110-91(7);.0713(a-d) 303 Children were not adequately supervised at all times. While space #5 was transitioning from the outdoor space to the classroom, the staff member assigned to the space remained by the door to the outdoor space while seven (7) children went across the large lobby and into the classroom and were unattended for several minutes. .1801(a)(1-5) 447 For children under two years of age, time and space for sleeping, eating, toileting, diaper changing, and playing was not provided according to child's needs. An infant was observed sleeping in a bouncer in space #3. .0511 (a) 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. Children in space #5 did not wash their hands after playing outside. 15A NCAC 18A .2803(c) 807 A safe indoor and outdoor environment was not provided for the children. There were several nails protruding from the fence beside the back gate creating sharp edges. The landscaping fabric under the mulch on the preschool outdoor space was exposed in several areas causing a tripping hazard. 10A NCAC 09 .0601(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. In space #5, aerosol containers of Coppertone Kids Sunscreen and Banana Boat Kids Free Sunscreen were stored in cabinet but not locked. .2820(b) 847 Parent's medication authorization did not include required information. In space #3, a tube of Nystatin had written permission on a form for over-the-counter topical creams. 10A NCAC 09 .0803(4)(6-9) 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 #4, a bottle of children’s ibuprofen was on file with written permission that expired 5/29/25. In space #3, a bottle of children’s cough syrup was on file with written permission that expired 7/12/25. .0803(12) 860 Balloons were accessible to children. Two balloon towers were observed immediately when entering the center. .0604(q) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff member hired on 6/23/25 had a medical report on file dated 6/26/25. A staff member hired on 5/1/25 did not have a medical report on file. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One staff member hired on 6/23/25 had a TB screening form that was not signed by a physician. .0701(a) 1880 Prescribed medication was not administered according to the prescription, using the amount and frequency of dosage specified on the label. In space #1, a Ventolin HFA inhaler was on file with a prescription label dated 6/10/25 to administer the medication for seven (7) days. .0803(2)(d) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 7/30/25, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: 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: Staff/Child Ratio: A staff-to-child ratio is a measure of the number of children for whom each child care provider is responsible. Because younger children need more direct one-on-one interaction, response, and supervision, staff-to-child ratios are lower for younger children than for older ones. Ratio and group size are two factors that are critical to a child’s health, safety, and development. Ratios and group sizes help ensure that a child gets enough one-on-one attention from an adult who is available to take care of each child’s unique needs. This responsive caregiving is extremely important to a child's social and emotional development, physical well-being, and overall learning. While space #4 was in the outdoor space, one staff member walked inside to get water cups leaving seven (7) children in care with one staff member for several minutes. We discussed that a communication system, such as phones or walkie talkies, can be utilized so it is easy for teachers to inform others when they need assistance. I discussed with the staff members in the classroom that they could bring a child with them to retrieve the water cups so that ratios are maintained. You stated that you have walkie talkies in the office that can be charged and distributed to staff members. Ensure that all staff members have access to a walkie talkie at all times to be able to call for immediate assistance when needed. Supervision: Adequate supervision of children is essential to keep children safe from accidents and injuries. Staff must remain with the children assigned to them at all times. Leaving a child or a group of children alone is unacceptable. Younger children need closer supervision to remain safe. Active supervision requires focused attention and intentional observation of children at all times. Caregivers/teachers position themselves so that they can observe all of the children: watching, counting, and listening at all times. Supervision is directly tied to safety and the prevention of injury and maintaining quality child care for infants, toddlers, preschoolers, and school-aged children. While space #5 was transitioning from the outdoor space to the classroom, the staff member assigned to the space remained by the door to the outdoor space while seven (7) children went into the classroom and were unattended for several minutes. We discussed that children must always remain with staff members and gather all the children together before transitioning into the indoors and call for assistance if assistance is needed. You stated that the staff member today was a substitute as the lead teacher was absent today and wasn’t as familiar with transitioning. You stated that you are scheduling one-on-one meetings with all staff members and will address supervision. Make classroom observations to follow up on the meetings and ensure that supervision is maintained during transitions. We discussed that a follow up visit will be conducted and that repeated supervision or staff child ratio violations could warrant an administrative action. 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. Medication permission forms are valid for a defined length of time and must be updated, if needed. In space #4, a bottle of children’s ibuprofen was on file with written permission that expired 5/29/25. In space #3, a bottle of children’s cough syrup was on file with written permission that expired 7/12/25. In space #3, a tube of Nystatin had written permission on a form for over-the-counter topical creams. In space #1, a Ventolin HFA inhaler was on file with a prescription label dated 6/10/25 to administer the medication for seven (7) days. I observed that you have created a list of medications with the expiration dates of the forms for each room. You stated that you are in the process of updating the charts and we discussed that it would be helpful for one person to accept and review medication forms. I shared with you a medication flyer to review when accepting medication. Ensure that medications are checked frequently to ensure that medication permission forms are updated before they expire and documented on the correct form. Infants Sleeping in Unapproved Devices: Infants must be placed on their backs to sleep and their tummies to play. Infants who fall asleep at any place that is not a crib must be moved and placed to sleep on their backs in a crib. Examples of places where infants may not be left to sleep are car seats, high chairs, swings, and infant seats. An infant was observed sleeping in a bouncer in space #3. When this was brought to your attention, the infant was picked up and placed in the assigned crib. You stated that the child is active and wakes when transferred to the crib. Review this requirement with all staff who work in your infant classroom to ensure they understand that children must be put in a crib when they are asleep. Sanitation for Child Care Facilities: Children shall wash hands upon arrival at the child care center; after each diaper change or visit the toilet; before eating meals or snacks; before and after water play; after outdoor activity; and after handling animals or animal cages. Except for diapering and before eating meals or snacks, hand sanitizing products may be used in lieu of handwashing while children are outdoors if hands are washed upon returning indoors. Children in space #5 did not wash their hands after playing outside. We discussed that since there is not a sink in the classroom to take the children immediately to the bathrooms before going to the classroom as this routine will be an easier transition as the bathrooms are directly inside the door to the outdoors. Make classroom observations to ensure that children are washing their hands when they transition inside and before they begin playing. Staff Records: The health and safety of children requires that information regarding each staff working with the children should be kept and available when needed. Staff records consist of various documentation to include emergency contact information. A Staff Medical Report and TB Screening/Test is due for new employees by their first day of work to ensure they are physically, mentally, and emotionally well enough to care for children in a busy, rigorous environment. One staff member hired on 6/23/25 had a medical report on file dated 6/26/25 and a TB screening form that was not signed by a physician. A staff member hired on 5/1/25 did not have a medical report on file. Use the current Staff and Training Worksheet to help you verify that all required forms are on file. Placing each form in the same order as the worksheet makes it even quicker and easier to review files and update the worksheet. Outdoor 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. There were several nails protruding from the fence beside the back gate creating sharp edges. The landscaping fabric under the mulch on the preschool outdoor space was exposed in several areas causing a tripping hazard. During the visit, you spoke with a maintenance staff member about fixing these areas. We discussed that it would be helpful to complete monthly outdoor inspections even though you are not required to document them. Check the outdoor spaces daily for hazards. Storage of Hazardous Items: Intentional planning of the environment ensures a safe environment has been created which prevents and reduces injuries to young children. In space #5, aerosol containers of Coppertone Kids Sunscreen and Banana Boat Kids Free Sunscreen were stored in cabinet but not locked. You locked the cabinet when it was brought to your attention to correct the violation. Two balloon towers were observed immediately when entering the center. You immediately removed the balloon towers when it was brought to your attention to correct the violation. Check all spaces for hazards before children arrive each day. Additional Comments: Fire Inspection: We discussed that a fire inspection is due by 8/27/25. 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. 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. 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 .0803 · Violation

Name of Operation: LATITUDE KIDS CARE Facility ID: 25000584 Consultant: BRITTANY JONES Operation Type: Center Case Number: Visit Date: 7/16/2025 Number Present: 42 Completed Date: 7/16/2025 Age: From 0 To 5 Total Minutes: 386 Time In: 09:34 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with the applicable child care requirements for a routine unannounced visit. K. Sosebee, Administrator, and S. Jones, Classroom Coordinator, assisted me with today’s visit. Your program currently operates with a Notice of Compliance effective 5/8/2020. The last annual compliance visit was conducted 1/8/25. The sanitation inspection was completed on 5/2/25 with a “Superior” classification. The last fire inspection was conducted on 8/27/24. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty percent as of 7/11/25. The NC Secretary of State website was reviewed on 7/11/25 and this facility is not currently owned or operated by a corporation. Please contact me prior to and changes regarding the ownership of this facility. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website and you stated that the facility’s email address is now kristal@latitude.church. You stated that you are the acting administrator as the previous administrator had moved. I provided you with a preservice form for administrators to complete and return to me. You visited each indoor and outdoor space with me. Children throughout the facility were participating in free play, transitions, and personal care routines. Infants were napping and being care for according to individual needs. Toddlers and preschoolers were observed in the outdoor space climbing on the stationary equipment and riding on trikes. The outdoor space was observed to have portable houses, riding toys, and balls for the children to engage in gross motor activities. Lunch was observed and included hot dogs, French fries, mandarin oranges, and milk. The following violations were documented. Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. While space #4 was in the outdoor space, one staff member walked inside to get water cups leaving seven (7) children, one year of age, in care with one staff member for several minutes. GS 110-91(7);.0713(a-d) 303 Children were not adequately supervised at all times. While space #5 was transitioning from the outdoor space to the classroom, the staff member assigned to the space remained by the door to the outdoor space while seven (7) children went across the large lobby and into the classroom and were unattended for several minutes. .1801(a)(1-5) 447 For children under two years of age, time and space for sleeping, eating, toileting, diaper changing, and playing was not provided according to child's needs. An infant was observed sleeping in a bouncer in space #3. .0511 (a) 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. Children in space #5 did not wash their hands after playing outside. 15A NCAC 18A .2803(c) 807 A safe indoor and outdoor environment was not provided for the children. There were several nails protruding from the fence beside the back gate creating sharp edges. The landscaping fabric under the mulch on the preschool outdoor space was exposed in several areas causing a tripping hazard. 10A NCAC 09 .0601(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. In space #5, aerosol containers of Coppertone Kids Sunscreen and Banana Boat Kids Free Sunscreen were stored in cabinet but not locked. .2820(b) 847 Parent's medication authorization did not include required information. In space #3, a tube of Nystatin had written permission on a form for over-the-counter topical creams. 10A NCAC 09 .0803(4)(6-9) 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 #4, a bottle of children’s ibuprofen was on file with written permission that expired 5/29/25. In space #3, a bottle of children’s cough syrup was on file with written permission that expired 7/12/25. .0803(12) 860 Balloons were accessible to children. Two balloon towers were observed immediately when entering the center. .0604(q) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff member hired on 6/23/25 had a medical report on file dated 6/26/25. A staff member hired on 5/1/25 did not have a medical report on file. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One staff member hired on 6/23/25 had a TB screening form that was not signed by a physician. .0701(a) 1880 Prescribed medication was not administered according to the prescription, using the amount and frequency of dosage specified on the label. In space #1, a Ventolin HFA inhaler was on file with a prescription label dated 6/10/25 to administer the medication for seven (7) days. .0803(2)(d) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 7/30/25, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: 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: Staff/Child Ratio: A staff-to-child ratio is a measure of the number of children for whom each child care provider is responsible. Because younger children need more direct one-on-one interaction, response, and supervision, staff-to-child ratios are lower for younger children than for older ones. Ratio and group size are two factors that are critical to a child’s health, safety, and development. Ratios and group sizes help ensure that a child gets enough one-on-one attention from an adult who is available to take care of each child’s unique needs. This responsive caregiving is extremely important to a child's social and emotional development, physical well-being, and overall learning. While space #4 was in the outdoor space, one staff member walked inside to get water cups leaving seven (7) children in care with one staff member for several minutes. We discussed that a communication system, such as phones or walkie talkies, can be utilized so it is easy for teachers to inform others when they need assistance. I discussed with the staff members in the classroom that they could bring a child with them to retrieve the water cups so that ratios are maintained. You stated that you have walkie talkies in the office that can be charged and distributed to staff members. Ensure that all staff members have access to a walkie talkie at all times to be able to call for immediate assistance when needed. Supervision: Adequate supervision of children is essential to keep children safe from accidents and injuries. Staff must remain with the children assigned to them at all times. Leaving a child or a group of children alone is unacceptable. Younger children need closer supervision to remain safe. Active supervision requires focused attention and intentional observation of children at all times. Caregivers/teachers position themselves so that they can observe all of the children: watching, counting, and listening at all times. Supervision is directly tied to safety and the prevention of injury and maintaining quality child care for infants, toddlers, preschoolers, and school-aged children. While space #5 was transitioning from the outdoor space to the classroom, the staff member assigned to the space remained by the door to the outdoor space while seven (7) children went into the classroom and were unattended for several minutes. We discussed that children must always remain with staff members and gather all the children together before transitioning into the indoors and call for assistance if assistance is needed. You stated that the staff member today was a substitute as the lead teacher was absent today and wasn’t as familiar with transitioning. You stated that you are scheduling one-on-one meetings with all staff members and will address supervision. Make classroom observations to follow up on the meetings and ensure that supervision is maintained during transitions. We discussed that a follow up visit will be conducted and that repeated supervision or staff child ratio violations could warrant an administrative action. 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. Medication permission forms are valid for a defined length of time and must be updated, if needed. In space #4, a bottle of children’s ibuprofen was on file with written permission that expired 5/29/25. In space #3, a bottle of children’s cough syrup was on file with written permission that expired 7/12/25. In space #3, a tube of Nystatin had written permission on a form for over-the-counter topical creams. In space #1, a Ventolin HFA inhaler was on file with a prescription label dated 6/10/25 to administer the medication for seven (7) days. I observed that you have created a list of medications with the expiration dates of the forms for each room. You stated that you are in the process of updating the charts and we discussed that it would be helpful for one person to accept and review medication forms. I shared with you a medication flyer to review when accepting medication. Ensure that medications are checked frequently to ensure that medication permission forms are updated before they expire and documented on the correct form. Infants Sleeping in Unapproved Devices: Infants must be placed on their backs to sleep and their tummies to play. Infants who fall asleep at any place that is not a crib must be moved and placed to sleep on their backs in a crib. Examples of places where infants may not be left to sleep are car seats, high chairs, swings, and infant seats. An infant was observed sleeping in a bouncer in space #3. When this was brought to your attention, the infant was picked up and placed in the assigned crib. You stated that the child is active and wakes when transferred to the crib. Review this requirement with all staff who work in your infant classroom to ensure they understand that children must be put in a crib when they are asleep. Sanitation for Child Care Facilities: Children shall wash hands upon arrival at the child care center; after each diaper change or visit the toilet; before eating meals or snacks; before and after water play; after outdoor activity; and after handling animals or animal cages. Except for diapering and before eating meals or snacks, hand sanitizing products may be used in lieu of handwashing while children are outdoors if hands are washed upon returning indoors. Children in space #5 did not wash their hands after playing outside. We discussed that since there is not a sink in the classroom to take the children immediately to the bathrooms before going to the classroom as this routine will be an easier transition as the bathrooms are directly inside the door to the outdoors. Make classroom observations to ensure that children are washing their hands when they transition inside and before they begin playing. Staff Records: The health and safety of children requires that information regarding each staff working with the children should be kept and available when needed. Staff records consist of various documentation to include emergency contact information. A Staff Medical Report and TB Screening/Test is due for new employees by their first day of work to ensure they are physically, mentally, and emotionally well enough to care for children in a busy, rigorous environment. One staff member hired on 6/23/25 had a medical report on file dated 6/26/25 and a TB screening form that was not signed by a physician. A staff member hired on 5/1/25 did not have a medical report on file. Use the current Staff and Training Worksheet to help you verify that all required forms are on file. Placing each form in the same order as the worksheet makes it even quicker and easier to review files and update the worksheet. Outdoor 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. There were several nails protruding from the fence beside the back gate creating sharp edges. The landscaping fabric under the mulch on the preschool outdoor space was exposed in several areas causing a tripping hazard. During the visit, you spoke with a maintenance staff member about fixing these areas. We discussed that it would be helpful to complete monthly outdoor inspections even though you are not required to document them. Check the outdoor spaces daily for hazards. Storage of Hazardous Items: Intentional planning of the environment ensures a safe environment has been created which prevents and reduces injuries to young children. In space #5, aerosol containers of Coppertone Kids Sunscreen and Banana Boat Kids Free Sunscreen were stored in cabinet but not locked. You locked the cabinet when it was brought to your attention to correct the violation. Two balloon towers were observed immediately when entering the center. You immediately removed the balloon towers when it was brought to your attention to correct the violation. Check all spaces for hazards before children arrive each day. Additional Comments: Fire Inspection: We discussed that a fire inspection is due by 8/27/25. 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. 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. 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

GS 110-91 · Violation

Name of Operation: LATITUDE KIDS CARE Facility ID: 25000584 Consultant: BRITTANY JONES Operation Type: Center Case Number: Visit Date: 7/16/2025 Number Present: 42 Completed Date: 7/16/2025 Age: From 0 To 5 Total Minutes: 386 Time In: 09:34 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with the applicable child care requirements for a routine unannounced visit. K. Sosebee, Administrator, and S. Jones, Classroom Coordinator, assisted me with today’s visit. Your program currently operates with a Notice of Compliance effective 5/8/2020. The last annual compliance visit was conducted 1/8/25. The sanitation inspection was completed on 5/2/25 with a “Superior” classification. The last fire inspection was conducted on 8/27/24. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty percent as of 7/11/25. The NC Secretary of State website was reviewed on 7/11/25 and this facility is not currently owned or operated by a corporation. Please contact me prior to and changes regarding the ownership of this facility. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website and you stated that the facility’s email address is now kristal@latitude.church. You stated that you are the acting administrator as the previous administrator had moved. I provided you with a preservice form for administrators to complete and return to me. You visited each indoor and outdoor space with me. Children throughout the facility were participating in free play, transitions, and personal care routines. Infants were napping and being care for according to individual needs. Toddlers and preschoolers were observed in the outdoor space climbing on the stationary equipment and riding on trikes. The outdoor space was observed to have portable houses, riding toys, and balls for the children to engage in gross motor activities. Lunch was observed and included hot dogs, French fries, mandarin oranges, and milk. The following violations were documented. Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. While space #4 was in the outdoor space, one staff member walked inside to get water cups leaving seven (7) children, one year of age, in care with one staff member for several minutes. GS 110-91(7);.0713(a-d) 303 Children were not adequately supervised at all times. While space #5 was transitioning from the outdoor space to the classroom, the staff member assigned to the space remained by the door to the outdoor space while seven (7) children went across the large lobby and into the classroom and were unattended for several minutes. .1801(a)(1-5) 447 For children under two years of age, time and space for sleeping, eating, toileting, diaper changing, and playing was not provided according to child's needs. An infant was observed sleeping in a bouncer in space #3. .0511 (a) 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. Children in space #5 did not wash their hands after playing outside. 15A NCAC 18A .2803(c) 807 A safe indoor and outdoor environment was not provided for the children. There were several nails protruding from the fence beside the back gate creating sharp edges. The landscaping fabric under the mulch on the preschool outdoor space was exposed in several areas causing a tripping hazard. 10A NCAC 09 .0601(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. In space #5, aerosol containers of Coppertone Kids Sunscreen and Banana Boat Kids Free Sunscreen were stored in cabinet but not locked. .2820(b) 847 Parent's medication authorization did not include required information. In space #3, a tube of Nystatin had written permission on a form for over-the-counter topical creams. 10A NCAC 09 .0803(4)(6-9) 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 #4, a bottle of children’s ibuprofen was on file with written permission that expired 5/29/25. In space #3, a bottle of children’s cough syrup was on file with written permission that expired 7/12/25. .0803(12) 860 Balloons were accessible to children. Two balloon towers were observed immediately when entering the center. .0604(q) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff member hired on 6/23/25 had a medical report on file dated 6/26/25. A staff member hired on 5/1/25 did not have a medical report on file. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One staff member hired on 6/23/25 had a TB screening form that was not signed by a physician. .0701(a) 1880 Prescribed medication was not administered according to the prescription, using the amount and frequency of dosage specified on the label. In space #1, a Ventolin HFA inhaler was on file with a prescription label dated 6/10/25 to administer the medication for seven (7) days. .0803(2)(d) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 7/30/25, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: 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: Staff/Child Ratio: A staff-to-child ratio is a measure of the number of children for whom each child care provider is responsible. Because younger children need more direct one-on-one interaction, response, and supervision, staff-to-child ratios are lower for younger children than for older ones. Ratio and group size are two factors that are critical to a child’s health, safety, and development. Ratios and group sizes help ensure that a child gets enough one-on-one attention from an adult who is available to take care of each child’s unique needs. This responsive caregiving is extremely important to a child's social and emotional development, physical well-being, and overall learning. While space #4 was in the outdoor space, one staff member walked inside to get water cups leaving seven (7) children in care with one staff member for several minutes. We discussed that a communication system, such as phones or walkie talkies, can be utilized so it is easy for teachers to inform others when they need assistance. I discussed with the staff members in the classroom that they could bring a child with them to retrieve the water cups so that ratios are maintained. You stated that you have walkie talkies in the office that can be charged and distributed to staff members. Ensure that all staff members have access to a walkie talkie at all times to be able to call for immediate assistance when needed. Supervision: Adequate supervision of children is essential to keep children safe from accidents and injuries. Staff must remain with the children assigned to them at all times. Leaving a child or a group of children alone is unacceptable. Younger children need closer supervision to remain safe. Active supervision requires focused attention and intentional observation of children at all times. Caregivers/teachers position themselves so that they can observe all of the children: watching, counting, and listening at all times. Supervision is directly tied to safety and the prevention of injury and maintaining quality child care for infants, toddlers, preschoolers, and school-aged children. While space #5 was transitioning from the outdoor space to the classroom, the staff member assigned to the space remained by the door to the outdoor space while seven (7) children went into the classroom and were unattended for several minutes. We discussed that children must always remain with staff members and gather all the children together before transitioning into the indoors and call for assistance if assistance is needed. You stated that the staff member today was a substitute as the lead teacher was absent today and wasn’t as familiar with transitioning. You stated that you are scheduling one-on-one meetings with all staff members and will address supervision. Make classroom observations to follow up on the meetings and ensure that supervision is maintained during transitions. We discussed that a follow up visit will be conducted and that repeated supervision or staff child ratio violations could warrant an administrative action. 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. Medication permission forms are valid for a defined length of time and must be updated, if needed. In space #4, a bottle of children’s ibuprofen was on file with written permission that expired 5/29/25. In space #3, a bottle of children’s cough syrup was on file with written permission that expired 7/12/25. In space #3, a tube of Nystatin had written permission on a form for over-the-counter topical creams. In space #1, a Ventolin HFA inhaler was on file with a prescription label dated 6/10/25 to administer the medication for seven (7) days. I observed that you have created a list of medications with the expiration dates of the forms for each room. You stated that you are in the process of updating the charts and we discussed that it would be helpful for one person to accept and review medication forms. I shared with you a medication flyer to review when accepting medication. Ensure that medications are checked frequently to ensure that medication permission forms are updated before they expire and documented on the correct form. Infants Sleeping in Unapproved Devices: Infants must be placed on their backs to sleep and their tummies to play. Infants who fall asleep at any place that is not a crib must be moved and placed to sleep on their backs in a crib. Examples of places where infants may not be left to sleep are car seats, high chairs, swings, and infant seats. An infant was observed sleeping in a bouncer in space #3. When this was brought to your attention, the infant was picked up and placed in the assigned crib. You stated that the child is active and wakes when transferred to the crib. Review this requirement with all staff who work in your infant classroom to ensure they understand that children must be put in a crib when they are asleep. Sanitation for Child Care Facilities: Children shall wash hands upon arrival at the child care center; after each diaper change or visit the toilet; before eating meals or snacks; before and after water play; after outdoor activity; and after handling animals or animal cages. Except for diapering and before eating meals or snacks, hand sanitizing products may be used in lieu of handwashing while children are outdoors if hands are washed upon returning indoors. Children in space #5 did not wash their hands after playing outside. We discussed that since there is not a sink in the classroom to take the children immediately to the bathrooms before going to the classroom as this routine will be an easier transition as the bathrooms are directly inside the door to the outdoors. Make classroom observations to ensure that children are washing their hands when they transition inside and before they begin playing. Staff Records: The health and safety of children requires that information regarding each staff working with the children should be kept and available when needed. Staff records consist of various documentation to include emergency contact information. A Staff Medical Report and TB Screening/Test is due for new employees by their first day of work to ensure they are physically, mentally, and emotionally well enough to care for children in a busy, rigorous environment. One staff member hired on 6/23/25 had a medical report on file dated 6/26/25 and a TB screening form that was not signed by a physician. A staff member hired on 5/1/25 did not have a medical report on file. Use the current Staff and Training Worksheet to help you verify that all required forms are on file. Placing each form in the same order as the worksheet makes it even quicker and easier to review files and update the worksheet. Outdoor 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. There were several nails protruding from the fence beside the back gate creating sharp edges. The landscaping fabric under the mulch on the preschool outdoor space was exposed in several areas causing a tripping hazard. During the visit, you spoke with a maintenance staff member about fixing these areas. We discussed that it would be helpful to complete monthly outdoor inspections even though you are not required to document them. Check the outdoor spaces daily for hazards. Storage of Hazardous Items: Intentional planning of the environment ensures a safe environment has been created which prevents and reduces injuries to young children. In space #5, aerosol containers of Coppertone Kids Sunscreen and Banana Boat Kids Free Sunscreen were stored in cabinet but not locked. You locked the cabinet when it was brought to your attention to correct the violation. Two balloon towers were observed immediately when entering the center. You immediately removed the balloon towers when it was brought to your attention to correct the violation. Check all spaces for hazards before children arrive each day. Additional Comments: Fire Inspection: We discussed that a fire inspection is due by 8/27/25. 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. 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. 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: LATITUDE KIDS CARE Facility ID: 25000584 Consultant: BRITTANY JONES Operation Type: Center Case Number: Visit Date: 7/16/2025 Number Present: 42 Completed Date: 7/16/2025 Age: From 0 To 5 Total Minutes: 386 Time In: 09:34 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with the applicable child care requirements for a routine unannounced visit. K. Sosebee, Administrator, and S. Jones, Classroom Coordinator, assisted me with today’s visit. Your program currently operates with a Notice of Compliance effective 5/8/2020. The last annual compliance visit was conducted 1/8/25. The sanitation inspection was completed on 5/2/25 with a “Superior” classification. The last fire inspection was conducted on 8/27/24. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty percent as of 7/11/25. The NC Secretary of State website was reviewed on 7/11/25 and this facility is not currently owned or operated by a corporation. Please contact me prior to and changes regarding the ownership of this facility. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website and you stated that the facility’s email address is now kristal@latitude.church. You stated that you are the acting administrator as the previous administrator had moved. I provided you with a preservice form for administrators to complete and return to me. You visited each indoor and outdoor space with me. Children throughout the facility were participating in free play, transitions, and personal care routines. Infants were napping and being care for according to individual needs. Toddlers and preschoolers were observed in the outdoor space climbing on the stationary equipment and riding on trikes. The outdoor space was observed to have portable houses, riding toys, and balls for the children to engage in gross motor activities. Lunch was observed and included hot dogs, French fries, mandarin oranges, and milk. The following violations were documented. Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. While space #4 was in the outdoor space, one staff member walked inside to get water cups leaving seven (7) children, one year of age, in care with one staff member for several minutes. GS 110-91(7);.0713(a-d) 303 Children were not adequately supervised at all times. While space #5 was transitioning from the outdoor space to the classroom, the staff member assigned to the space remained by the door to the outdoor space while seven (7) children went across the large lobby and into the classroom and were unattended for several minutes. .1801(a)(1-5) 447 For children under two years of age, time and space for sleeping, eating, toileting, diaper changing, and playing was not provided according to child's needs. An infant was observed sleeping in a bouncer in space #3. .0511 (a) 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. Children in space #5 did not wash their hands after playing outside. 15A NCAC 18A .2803(c) 807 A safe indoor and outdoor environment was not provided for the children. There were several nails protruding from the fence beside the back gate creating sharp edges. The landscaping fabric under the mulch on the preschool outdoor space was exposed in several areas causing a tripping hazard. 10A NCAC 09 .0601(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. In space #5, aerosol containers of Coppertone Kids Sunscreen and Banana Boat Kids Free Sunscreen were stored in cabinet but not locked. .2820(b) 847 Parent's medication authorization did not include required information. In space #3, a tube of Nystatin had written permission on a form for over-the-counter topical creams. 10A NCAC 09 .0803(4)(6-9) 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 #4, a bottle of children’s ibuprofen was on file with written permission that expired 5/29/25. In space #3, a bottle of children’s cough syrup was on file with written permission that expired 7/12/25. .0803(12) 860 Balloons were accessible to children. Two balloon towers were observed immediately when entering the center. .0604(q) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff member hired on 6/23/25 had a medical report on file dated 6/26/25. A staff member hired on 5/1/25 did not have a medical report on file. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One staff member hired on 6/23/25 had a TB screening form that was not signed by a physician. .0701(a) 1880 Prescribed medication was not administered according to the prescription, using the amount and frequency of dosage specified on the label. In space #1, a Ventolin HFA inhaler was on file with a prescription label dated 6/10/25 to administer the medication for seven (7) days. .0803(2)(d) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 7/30/25, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: 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: Staff/Child Ratio: A staff-to-child ratio is a measure of the number of children for whom each child care provider is responsible. Because younger children need more direct one-on-one interaction, response, and supervision, staff-to-child ratios are lower for younger children than for older ones. Ratio and group size are two factors that are critical to a child’s health, safety, and development. Ratios and group sizes help ensure that a child gets enough one-on-one attention from an adult who is available to take care of each child’s unique needs. This responsive caregiving is extremely important to a child's social and emotional development, physical well-being, and overall learning. While space #4 was in the outdoor space, one staff member walked inside to get water cups leaving seven (7) children in care with one staff member for several minutes. We discussed that a communication system, such as phones or walkie talkies, can be utilized so it is easy for teachers to inform others when they need assistance. I discussed with the staff members in the classroom that they could bring a child with them to retrieve the water cups so that ratios are maintained. You stated that you have walkie talkies in the office that can be charged and distributed to staff members. Ensure that all staff members have access to a walkie talkie at all times to be able to call for immediate assistance when needed. Supervision: Adequate supervision of children is essential to keep children safe from accidents and injuries. Staff must remain with the children assigned to them at all times. Leaving a child or a group of children alone is unacceptable. Younger children need closer supervision to remain safe. Active supervision requires focused attention and intentional observation of children at all times. Caregivers/teachers position themselves so that they can observe all of the children: watching, counting, and listening at all times. Supervision is directly tied to safety and the prevention of injury and maintaining quality child care for infants, toddlers, preschoolers, and school-aged children. While space #5 was transitioning from the outdoor space to the classroom, the staff member assigned to the space remained by the door to the outdoor space while seven (7) children went into the classroom and were unattended for several minutes. We discussed that children must always remain with staff members and gather all the children together before transitioning into the indoors and call for assistance if assistance is needed. You stated that the staff member today was a substitute as the lead teacher was absent today and wasn’t as familiar with transitioning. You stated that you are scheduling one-on-one meetings with all staff members and will address supervision. Make classroom observations to follow up on the meetings and ensure that supervision is maintained during transitions. We discussed that a follow up visit will be conducted and that repeated supervision or staff child ratio violations could warrant an administrative action. 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. Medication permission forms are valid for a defined length of time and must be updated, if needed. In space #4, a bottle of children’s ibuprofen was on file with written permission that expired 5/29/25. In space #3, a bottle of children’s cough syrup was on file with written permission that expired 7/12/25. In space #3, a tube of Nystatin had written permission on a form for over-the-counter topical creams. In space #1, a Ventolin HFA inhaler was on file with a prescription label dated 6/10/25 to administer the medication for seven (7) days. I observed that you have created a list of medications with the expiration dates of the forms for each room. You stated that you are in the process of updating the charts and we discussed that it would be helpful for one person to accept and review medication forms. I shared with you a medication flyer to review when accepting medication. Ensure that medications are checked frequently to ensure that medication permission forms are updated before they expire and documented on the correct form. Infants Sleeping in Unapproved Devices: Infants must be placed on their backs to sleep and their tummies to play. Infants who fall asleep at any place that is not a crib must be moved and placed to sleep on their backs in a crib. Examples of places where infants may not be left to sleep are car seats, high chairs, swings, and infant seats. An infant was observed sleeping in a bouncer in space #3. When this was brought to your attention, the infant was picked up and placed in the assigned crib. You stated that the child is active and wakes when transferred to the crib. Review this requirement with all staff who work in your infant classroom to ensure they understand that children must be put in a crib when they are asleep. Sanitation for Child Care Facilities: Children shall wash hands upon arrival at the child care center; after each diaper change or visit the toilet; before eating meals or snacks; before and after water play; after outdoor activity; and after handling animals or animal cages. Except for diapering and before eating meals or snacks, hand sanitizing products may be used in lieu of handwashing while children are outdoors if hands are washed upon returning indoors. Children in space #5 did not wash their hands after playing outside. We discussed that since there is not a sink in the classroom to take the children immediately to the bathrooms before going to the classroom as this routine will be an easier transition as the bathrooms are directly inside the door to the outdoors. Make classroom observations to ensure that children are washing their hands when they transition inside and before they begin playing. Staff Records: The health and safety of children requires that information regarding each staff working with the children should be kept and available when needed. Staff records consist of various documentation to include emergency contact information. A Staff Medical Report and TB Screening/Test is due for new employees by their first day of work to ensure they are physically, mentally, and emotionally well enough to care for children in a busy, rigorous environment. One staff member hired on 6/23/25 had a medical report on file dated 6/26/25 and a TB screening form that was not signed by a physician. A staff member hired on 5/1/25 did not have a medical report on file. Use the current Staff and Training Worksheet to help you verify that all required forms are on file. Placing each form in the same order as the worksheet makes it even quicker and easier to review files and update the worksheet. Outdoor 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. There were several nails protruding from the fence beside the back gate creating sharp edges. The landscaping fabric under the mulch on the preschool outdoor space was exposed in several areas causing a tripping hazard. During the visit, you spoke with a maintenance staff member about fixing these areas. We discussed that it would be helpful to complete monthly outdoor inspections even though you are not required to document them. Check the outdoor spaces daily for hazards. Storage of Hazardous Items: Intentional planning of the environment ensures a safe environment has been created which prevents and reduces injuries to young children. In space #5, aerosol containers of Coppertone Kids Sunscreen and Banana Boat Kids Free Sunscreen were stored in cabinet but not locked. You locked the cabinet when it was brought to your attention to correct the violation. Two balloon towers were observed immediately when entering the center. You immediately removed the balloon towers when it was brought to your attention to correct the violation. Check all spaces for hazards before children arrive each day. Additional Comments: Fire Inspection: We discussed that a fire inspection is due by 8/27/25. 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. 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. 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 .0803 · Violation

Name of Operation: LATITUDE KIDS CARE Facility ID: 25000584 Consultant: BRITTANY JONES Operation Type: Center Case Number: Visit Date: 1/8/2025 Number Present: 43 Completed Date: 1/8/2025 Age: From 0 To 4 Total Minutes: 305 Time In: 08:55 AM Time Out: 02:00 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. I. Cruz Fuentes, Administrator, assisted me with the visit. Your program currently operates with a Notice of Compliance effective 5/8/2020. The last annual compliance visit was conducted 2/8/24. The sanitation inspection was completed 12/6/24 with a “Superior” classification. The last fire inspection was conducted 8/27/24. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty four percent as of 12/31/24. The NC Secretary of State website was reviewed on 12/31/24 and this facility is not currently owned or operated by a corporation. Please contact me prior to and changes regarding the ownership of this facility. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website. I received a Preservice Requirements for Administrator for you during the visit. All indoor and outdoor spaces were monitored. Children throughout the facility were participating in free play in activity areas and personal care routines. Children under twelve months of age received care according to individual needs and were playing with toys on the carpet. Preschoolers were observed dressing up in costumes in the dramatic play center. The outdoor space was observed to have portable climbers, riding toys, and balls for the children to engage in gross motor activities. Lunch was observed and consisted of hot dogs, macaroni and cheese, baked beans, peaches, 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 Aquaphor Healing Cream Baby expired 11/24. 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 #1, an Epi-Pen had written permission that expired 12/7/24 and a bottle of Benadryl with written permission that expired 12/4/24. .0803(12) 1065 Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. I. Cruz Fuentes, Administrator, had SIDS certification on file that expired 2/5/2023. .1102(f) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The administrator did not complete the ABCMS provider training, and complete facility roster of staff employed at the facility. G.S. 110-90.2 & .2703(r) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. In space #2, a medical action plan expired 10/9/24. .0801(b) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Seven (7) staff members did not complete child maltreatment training within 3 months of hire. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. A staff member hired on 8/15/2023 did not complete Health & Safety Training. .1102(a) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 1/22/25, 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: SIDS: Completing ITS/SIDS training at hire and every three years provides staff with the most current information and required practices to protect infants from Sudden Infant Death Syndrome and other accidents that may occur while sleeping. Administrators and all staff working in the infant room (Lead Teachers, Teachers, Floaters, Substitutes and uncompensated employees counting in staff/child ratio) are required to complete Infant Toddler Safe Sleep/ SIDS Reduction Training within two months of employment and recertify every three years; however, if an infant is present, there must always be a staff member with safe sleep training in the room. I. Cruz Fuentes, Administrator, had SIDS certification on file that expired 2/5/2023. We discussed that since I. Cruz is now an administrator, she has to maintain SIDS certification even if she is not assigned to the infant classroom. You stated that you did not realize that administrators had to maintain SIDS even if they do not work in the infant room. During the visit, you found an upcoming SIDS class to attend. Send me a copy of the certificate with the compliance letter. Medication: All medications for children present at the center must have a current, completed medication permission form even if there is a Medical Action Plan. The medication permission forms provide additional information that could be critical to the administration of the medication and the care of the child. Medication permission forms are valid for a defined length of time and must be updated, if needed. In space #1, an Epi-Pen had written permission that expired 12/7/24 and a bottle of Benadryl with written permission that expired 12/4/24. We discussed that emergency medication permission is valid for 6 months and is listed at the top of the form for reference. In space #2, a tube of Aquaphor Healing Cream Baby expired 11/24. We discussed that it would be beneficial to assign a staff member to accept medication and check the medication forms before they are placed in the classroom. You stated that you will be updating the medication charts that you are currently using to add the expiration date of the medication with the expiration date of the permission forms so that it is easier to monitor each month. In space #2, a medical action plan expired 10/9/24. We discussed that medical action plans are valid for one year. Check medical action plans each time permission forms are updated to ensure that they are up to date. Health & Safety Training: Health & Safety (H&S) Training includes training in 9 topic areas plus Recognizing and Responding to Suspicions of Child Maltreatment and CPR/First Aid. New staff are required to complete H&S Training within one year of hire (CPR/First Aid and Recognizing and Responding to Suspicions of Child Maltreatment within 3 months of hire) and then complete training in all topic areas every five years. A staff member hired on 8/15/2023 did not complete Health & Safety Training. You stated that the staff member has taken some of the health and safety trainings. Complete Recognizing and Responding to Suspicions of Child Maltreatment at www.preventchildabusenc.org. (Any approved training related to Child Maltreatment can be used to meet this topic area for the five-year cycle.) Seven (7) staff members did not complete child maltreatment training within 3 months of hire. Use the Health & Safety Training Log to document and track all H&S Training and attach certificate for each training topic area to log. These trainings can also be used to meet annual on-going training requirements. Use your staff worksheets and create a “tickler” to send a reminder to your phone or email several months before the health and safety trainings are due. You can also use it to track due dates for items that expire such as Criminal Background Checks, ITS/SIDS Training, Health & Safety Training, etc. ABCMS: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. You stated that you will complete the training and send me your certificate with the compliance letter. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Additional Comments: Criminal Background Checks: Intentional planning for completing criminal background checks before they expire three years from the date on the letter will eliminate a lapse in criminal background checks. Paper work can be sent in up to six months in advance of the expiration date in order to obtain a new letter. Ileana Cruz Fuentes has a qualification letter that expires 1/31/25 and Rachel Bollman has a qualification letter that expires 1/17/24. During the visit, I shared applicant background check instructions with you to complete immediately. EPR Plan: One staff member shall take the EPR in Child Care training to help them prepare this plan. This plan should be created on the template provided by the division within four months of the completion of EPR training which will include all of the necessary procedures and documents needed. When the trained staff member leaves employment, the center shall ensure that another staff member completes the required training within four months of the vacancy which began on 11/1/24. You need to complete the training by 3/1/25 and you found an upcoming training to attend during the visit. Update the EPR plan once the training is completed. Clean Classrooms for Carolina Kids: Due to the devastation caused by Hurricane Helene, the deadline for enrolling in the Clean Classrooms for Carolina Kids testing for lead in water, lead paint, and asbestos has been extended to May 31, 2025. If you have not completed the online enrollment, online training, and initial survey, complete this for your facility as soon as possible. Funding is available for licensed facilities that need lead paint or asbestos mitigation. Enroll today athttps://www.cleanwaterforcarolinakids.org/enroll. If you have enrolled for only one or two of the program sections, log back in to complete surveys for the remaining section(s) to comply with the rule requirements. 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. 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, (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

G.S. 110-90 · Violation

Name of Operation: LATITUDE KIDS CARE Facility ID: 25000584 Consultant: BRITTANY JONES Operation Type: Center Case Number: Visit Date: 1/8/2025 Number Present: 43 Completed Date: 1/8/2025 Age: From 0 To 4 Total Minutes: 305 Time In: 08:55 AM Time Out: 02:00 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. I. Cruz Fuentes, Administrator, assisted me with the visit. Your program currently operates with a Notice of Compliance effective 5/8/2020. The last annual compliance visit was conducted 2/8/24. The sanitation inspection was completed 12/6/24 with a “Superior” classification. The last fire inspection was conducted 8/27/24. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty four percent as of 12/31/24. The NC Secretary of State website was reviewed on 12/31/24 and this facility is not currently owned or operated by a corporation. Please contact me prior to and changes regarding the ownership of this facility. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website. I received a Preservice Requirements for Administrator for you during the visit. All indoor and outdoor spaces were monitored. Children throughout the facility were participating in free play in activity areas and personal care routines. Children under twelve months of age received care according to individual needs and were playing with toys on the carpet. Preschoolers were observed dressing up in costumes in the dramatic play center. The outdoor space was observed to have portable climbers, riding toys, and balls for the children to engage in gross motor activities. Lunch was observed and consisted of hot dogs, macaroni and cheese, baked beans, peaches, 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 Aquaphor Healing Cream Baby expired 11/24. 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 #1, an Epi-Pen had written permission that expired 12/7/24 and a bottle of Benadryl with written permission that expired 12/4/24. .0803(12) 1065 Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. I. Cruz Fuentes, Administrator, had SIDS certification on file that expired 2/5/2023. .1102(f) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The administrator did not complete the ABCMS provider training, and complete facility roster of staff employed at the facility. G.S. 110-90.2 & .2703(r) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. In space #2, a medical action plan expired 10/9/24. .0801(b) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Seven (7) staff members did not complete child maltreatment training within 3 months of hire. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. A staff member hired on 8/15/2023 did not complete Health & Safety Training. .1102(a) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 1/22/25, 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: SIDS: Completing ITS/SIDS training at hire and every three years provides staff with the most current information and required practices to protect infants from Sudden Infant Death Syndrome and other accidents that may occur while sleeping. Administrators and all staff working in the infant room (Lead Teachers, Teachers, Floaters, Substitutes and uncompensated employees counting in staff/child ratio) are required to complete Infant Toddler Safe Sleep/ SIDS Reduction Training within two months of employment and recertify every three years; however, if an infant is present, there must always be a staff member with safe sleep training in the room. I. Cruz Fuentes, Administrator, had SIDS certification on file that expired 2/5/2023. We discussed that since I. Cruz is now an administrator, she has to maintain SIDS certification even if she is not assigned to the infant classroom. You stated that you did not realize that administrators had to maintain SIDS even if they do not work in the infant room. During the visit, you found an upcoming SIDS class to attend. Send me a copy of the certificate with the compliance letter. Medication: All medications for children present at the center must have a current, completed medication permission form even if there is a Medical Action Plan. The medication permission forms provide additional information that could be critical to the administration of the medication and the care of the child. Medication permission forms are valid for a defined length of time and must be updated, if needed. In space #1, an Epi-Pen had written permission that expired 12/7/24 and a bottle of Benadryl with written permission that expired 12/4/24. We discussed that emergency medication permission is valid for 6 months and is listed at the top of the form for reference. In space #2, a tube of Aquaphor Healing Cream Baby expired 11/24. We discussed that it would be beneficial to assign a staff member to accept medication and check the medication forms before they are placed in the classroom. You stated that you will be updating the medication charts that you are currently using to add the expiration date of the medication with the expiration date of the permission forms so that it is easier to monitor each month. In space #2, a medical action plan expired 10/9/24. We discussed that medical action plans are valid for one year. Check medical action plans each time permission forms are updated to ensure that they are up to date. Health & Safety Training: Health & Safety (H&S) Training includes training in 9 topic areas plus Recognizing and Responding to Suspicions of Child Maltreatment and CPR/First Aid. New staff are required to complete H&S Training within one year of hire (CPR/First Aid and Recognizing and Responding to Suspicions of Child Maltreatment within 3 months of hire) and then complete training in all topic areas every five years. A staff member hired on 8/15/2023 did not complete Health & Safety Training. You stated that the staff member has taken some of the health and safety trainings. Complete Recognizing and Responding to Suspicions of Child Maltreatment at www.preventchildabusenc.org. (Any approved training related to Child Maltreatment can be used to meet this topic area for the five-year cycle.) Seven (7) staff members did not complete child maltreatment training within 3 months of hire. Use the Health & Safety Training Log to document and track all H&S Training and attach certificate for each training topic area to log. These trainings can also be used to meet annual on-going training requirements. Use your staff worksheets and create a “tickler” to send a reminder to your phone or email several months before the health and safety trainings are due. You can also use it to track due dates for items that expire such as Criminal Background Checks, ITS/SIDS Training, Health & Safety Training, etc. ABCMS: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. You stated that you will complete the training and send me your certificate with the compliance letter. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Additional Comments: Criminal Background Checks: Intentional planning for completing criminal background checks before they expire three years from the date on the letter will eliminate a lapse in criminal background checks. Paper work can be sent in up to six months in advance of the expiration date in order to obtain a new letter. Ileana Cruz Fuentes has a qualification letter that expires 1/31/25 and Rachel Bollman has a qualification letter that expires 1/17/24. During the visit, I shared applicant background check instructions with you to complete immediately. EPR Plan: One staff member shall take the EPR in Child Care training to help them prepare this plan. This plan should be created on the template provided by the division within four months of the completion of EPR training which will include all of the necessary procedures and documents needed. When the trained staff member leaves employment, the center shall ensure that another staff member completes the required training within four months of the vacancy which began on 11/1/24. You need to complete the training by 3/1/25 and you found an upcoming training to attend during the visit. Update the EPR plan once the training is completed. Clean Classrooms for Carolina Kids: Due to the devastation caused by Hurricane Helene, the deadline for enrolling in the Clean Classrooms for Carolina Kids testing for lead in water, lead paint, and asbestos has been extended to May 31, 2025. If you have not completed the online enrollment, online training, and initial survey, complete this for your facility as soon as possible. Funding is available for licensed facilities that need lead paint or asbestos mitigation. Enroll today athttps://www.cleanwaterforcarolinakids.org/enroll. If you have enrolled for only one or two of the program sections, log back in to complete surveys for the remaining section(s) to comply with the rule requirements. 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. 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, (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: LATITUDE KIDS CARE Facility ID: 25000584 Consultant: BRITTANY JONES Operation Type: Center Case Number: Visit Date: 1/8/2025 Number Present: 43 Completed Date: 1/8/2025 Age: From 0 To 4 Total Minutes: 305 Time In: 08:55 AM Time Out: 02:00 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. I. Cruz Fuentes, Administrator, assisted me with the visit. Your program currently operates with a Notice of Compliance effective 5/8/2020. The last annual compliance visit was conducted 2/8/24. The sanitation inspection was completed 12/6/24 with a “Superior” classification. The last fire inspection was conducted 8/27/24. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty four percent as of 12/31/24. The NC Secretary of State website was reviewed on 12/31/24 and this facility is not currently owned or operated by a corporation. Please contact me prior to and changes regarding the ownership of this facility. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website. I received a Preservice Requirements for Administrator for you during the visit. All indoor and outdoor spaces were monitored. Children throughout the facility were participating in free play in activity areas and personal care routines. Children under twelve months of age received care according to individual needs and were playing with toys on the carpet. Preschoolers were observed dressing up in costumes in the dramatic play center. The outdoor space was observed to have portable climbers, riding toys, and balls for the children to engage in gross motor activities. Lunch was observed and consisted of hot dogs, macaroni and cheese, baked beans, peaches, 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 Aquaphor Healing Cream Baby expired 11/24. 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 #1, an Epi-Pen had written permission that expired 12/7/24 and a bottle of Benadryl with written permission that expired 12/4/24. .0803(12) 1065 Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. I. Cruz Fuentes, Administrator, had SIDS certification on file that expired 2/5/2023. .1102(f) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The administrator did not complete the ABCMS provider training, and complete facility roster of staff employed at the facility. G.S. 110-90.2 & .2703(r) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. In space #2, a medical action plan expired 10/9/24. .0801(b) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Seven (7) staff members did not complete child maltreatment training within 3 months of hire. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. A staff member hired on 8/15/2023 did not complete Health & Safety Training. .1102(a) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 1/22/25, 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: SIDS: Completing ITS/SIDS training at hire and every three years provides staff with the most current information and required practices to protect infants from Sudden Infant Death Syndrome and other accidents that may occur while sleeping. Administrators and all staff working in the infant room (Lead Teachers, Teachers, Floaters, Substitutes and uncompensated employees counting in staff/child ratio) are required to complete Infant Toddler Safe Sleep/ SIDS Reduction Training within two months of employment and recertify every three years; however, if an infant is present, there must always be a staff member with safe sleep training in the room. I. Cruz Fuentes, Administrator, had SIDS certification on file that expired 2/5/2023. We discussed that since I. Cruz is now an administrator, she has to maintain SIDS certification even if she is not assigned to the infant classroom. You stated that you did not realize that administrators had to maintain SIDS even if they do not work in the infant room. During the visit, you found an upcoming SIDS class to attend. Send me a copy of the certificate with the compliance letter. Medication: All medications for children present at the center must have a current, completed medication permission form even if there is a Medical Action Plan. The medication permission forms provide additional information that could be critical to the administration of the medication and the care of the child. Medication permission forms are valid for a defined length of time and must be updated, if needed. In space #1, an Epi-Pen had written permission that expired 12/7/24 and a bottle of Benadryl with written permission that expired 12/4/24. We discussed that emergency medication permission is valid for 6 months and is listed at the top of the form for reference. In space #2, a tube of Aquaphor Healing Cream Baby expired 11/24. We discussed that it would be beneficial to assign a staff member to accept medication and check the medication forms before they are placed in the classroom. You stated that you will be updating the medication charts that you are currently using to add the expiration date of the medication with the expiration date of the permission forms so that it is easier to monitor each month. In space #2, a medical action plan expired 10/9/24. We discussed that medical action plans are valid for one year. Check medical action plans each time permission forms are updated to ensure that they are up to date. Health & Safety Training: Health & Safety (H&S) Training includes training in 9 topic areas plus Recognizing and Responding to Suspicions of Child Maltreatment and CPR/First Aid. New staff are required to complete H&S Training within one year of hire (CPR/First Aid and Recognizing and Responding to Suspicions of Child Maltreatment within 3 months of hire) and then complete training in all topic areas every five years. A staff member hired on 8/15/2023 did not complete Health & Safety Training. You stated that the staff member has taken some of the health and safety trainings. Complete Recognizing and Responding to Suspicions of Child Maltreatment at www.preventchildabusenc.org. (Any approved training related to Child Maltreatment can be used to meet this topic area for the five-year cycle.) Seven (7) staff members did not complete child maltreatment training within 3 months of hire. Use the Health & Safety Training Log to document and track all H&S Training and attach certificate for each training topic area to log. These trainings can also be used to meet annual on-going training requirements. Use your staff worksheets and create a “tickler” to send a reminder to your phone or email several months before the health and safety trainings are due. You can also use it to track due dates for items that expire such as Criminal Background Checks, ITS/SIDS Training, Health & Safety Training, etc. ABCMS: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. You stated that you will complete the training and send me your certificate with the compliance letter. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Additional Comments: Criminal Background Checks: Intentional planning for completing criminal background checks before they expire three years from the date on the letter will eliminate a lapse in criminal background checks. Paper work can be sent in up to six months in advance of the expiration date in order to obtain a new letter. Ileana Cruz Fuentes has a qualification letter that expires 1/31/25 and Rachel Bollman has a qualification letter that expires 1/17/24. During the visit, I shared applicant background check instructions with you to complete immediately. EPR Plan: One staff member shall take the EPR in Child Care training to help them prepare this plan. This plan should be created on the template provided by the division within four months of the completion of EPR training which will include all of the necessary procedures and documents needed. When the trained staff member leaves employment, the center shall ensure that another staff member completes the required training within four months of the vacancy which began on 11/1/24. You need to complete the training by 3/1/25 and you found an upcoming training to attend during the visit. Update the EPR plan once the training is completed. Clean Classrooms for Carolina Kids: Due to the devastation caused by Hurricane Helene, the deadline for enrolling in the Clean Classrooms for Carolina Kids testing for lead in water, lead paint, and asbestos has been extended to May 31, 2025. If you have not completed the online enrollment, online training, and initial survey, complete this for your facility as soon as possible. Funding is available for licensed facilities that need lead paint or asbestos mitigation. Enroll today athttps://www.cleanwaterforcarolinakids.org/enroll. If you have enrolled for only one or two of the program sections, log back in to complete surveys for the remaining section(s) to comply with the rule requirements. 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. 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, (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 .0901 · Violation

Name of Operation: LATITUDE KIDS CARE Facility ID: 25000584 Consultant: BRITTANY JONES Operation Type: Center Case Number: Visit Date: 8/15/2024 Number Present: 41 Completed Date: 8/15/2024 Age: From 0 To 5 Total Minutes: 175 Time In: 09:55 AM Time Out: 12:35 PM Time In: 04:00 PM Time Out: 04:15 PM 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. Michelle O’Kelley, Child Care Consultant, accompanied me on today’s visit. L. Fletcher, Administrator, assisted me with today’s visit. Your program currently operates with a Notice of Compliance effective 5/8/2020. The last annual compliance visit was conducted 2/8/24. The sanitation inspection was completed on 6/6/24 with a “Superior” classification. The last fire inspection was conducted 10/24/23. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty one percent as of 8/6/24. The NC Secretary of State website was reviewed on 8/6/24 and this facility is not currently owned or operated by a corporation. Please contact me prior to and changes regarding the ownership of this facility. You visited each indoor and outdoor space with me. Children throughout the facility were participating in free play in activity areas, transitions, and personal care routines. Infants were napping and sitting at the table to eat lunch. Preschoolers were observed in the outdoor space climbing on the climber and pretending to ride on the bus structure. The outdoor space was observed to have portable houses, riding toys, and balls for the children to engage in gross motor activities. Lunch was observed and included fish sticks, rice, peaches, and milk. The following violation(s) were documented. Violation Number Comment Rule 209 Children used space that was not approved. Space #5 was structurally renovated by removing a wall and reconstructed to enlarge the space. The consultant was not notified that the changes were made. The space had not been measured or approved for capacity or safety. GS 110-91(1)&(4-5) 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. Upon arrival to the center, a staff member assigned to space #4 left the classroom space to open the front door. In space #4, ten (10) children one year of age, were in care with one staff member. GS 110-91(7);.0713(a-d) 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. Lunch was observed and included fish sticks, rice, peaches, and milk. 10A NCAC 09 .0901(a) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. Fire drills for the months of June and July were not documented. .0604(t); .0302(d)(5) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In space #4, Equate sunscreen, Coppertone sunscreen, and Aquaphor Chapstick was on file without written permission from the parent. 10A NCAC 09 .0803(1)(a & b) 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 #4, medication forms for four (4) bottles of Tylenol were expired. In space #4, written permission for an Albuterol inhaler expired on 3/29/24. .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. The violation(s) documented must be corrected immediately. On or before 8/29/24, 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 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: Staff/Child Ratio: Staff/child ratios must be met at all times while caring for children in a center. If a teacher needs to leave the room, another staff member needs to be notified so they can cover the ratio while teacher is out of the room. A communication system, such as phones or walkie talkies, can be utilized so it is easy for teachers to inform others when they need assistance. Upon arrival to the center, a staff member assigned to space #4 left the classroom space to open the front door. In space #4, ten (10) children one year of age, were in care with one staff member. We discussed that staff members should use their walkie talkies to call for assistance to open the door, rather than leaving their classroom out of ratio. Ensure that all staff members have access to a walkie talkie at all times to be able to call for immediate assistance when needed. Unapproved Space: A major part of a child’s day is spent indoors. Children learn through their own experiences, trial and error, repetition, and imitation. Previous spaces used by children in your facility have been inspected, intentionally planned, measured and approved to prevent and reduce injuries and to promote all areas of a child’s development. It was brought to our attention that space #5 had recently been enlarged by moving a wall. When structural changes are made, a building, fire, and sanitation inspection are required before approving the space. The consultant was not notified that the changes were made. The space had not been measured or approved for capacity or safety. You stated that you were unaware that inspections were needed for the renovation. Request for these inspections to be completed and send them to me. The consultant must be notified when you plan to make these types of changes and given time to complete a visit to measure and approve the changes before use by the children. A return visit to measure and approve the spaces will be made. 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 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 #4, Equate sunscreen, Coppertone sunscreen, and Aquaphor Chapstick was on file without written permission from the parent. In space #4, medication forms for four (4) bottles of Tylenol were expired. In space #4, written permission for an Albuterol inhaler expired on 3/29/24. You stated that you had just returned from maternity leave and had not had a chance to check medications. You also stated that you have assigned classroom staff to check their medications monthly and have created a list of medications with the expiration dates of the forms. We discussed to use a calendar to document expiration dates in addition to the chart and to send medication home when they are no longer needed. Ensure that medications are checked frequently to ensure that medication permission forms are updated before they expire. Nutrition: Nourishing and attractive food is the cornerstone for children’s health, growth, and development as well as developmentally appropriate learning experiences. Nutrition and feeding are essential and required in every facility. Meals and snacks served to children in a child care center shall comply with the Meal Patterns for Children in Child Care Programs from the United States Department of Agriculture (USDA) which are based on the recommended nutrient intake judged by the National Research Council to be adequate for maintaining good nutrition. Lunch must have five components. Lunch was observed and included fish sticks, rice, peaches, and milk. We discussed that a vegetable is needed to meet the requirements. I shared with you the USDA Child Meal Pattern for lunch during the visit to use with the menu I shared with you in a previous visit that states all the components needed for meals. We looked over the menu together and discussed the meals that were lacking a component for you to update and you updated the menu during the visit to meet the components needed. Check the meal patterns for each meal to ensure that you serve all required components. Fire Drill: Intentional planning of monthly fire drills ensures that emergency preparedness drills are being conducted in case of an emergency. Documentation of each fire drill should include the date that the drill is held, the time of the day, the length of time taken to evacuate the home, and the operator’s signature. Fire drills for the months of June and July were not documented. You stated that you complete the fire drills and they were not completed due to your absence. Ensure that if you are out on leave, that the person in charge is aware of monthly tasks so that are completed on time. Additional Comments: Natural Learning Initiative: Time outdoors is a critical tool for supporting mental and physical health in young children. Adoption of best practices for outdoor play and learning spaces is critical to increase daily time spent outside. The four components of this project include: 1. Relaunch a supportive network for outdoor play and learning environments in North Carolina; 2. Research nature-based programs and spaces and develop a plan to embed these in licensed childcare in North Carolina; 3. Motivate and train early educators and specialists to promote best practices and increase time in outdoor play and learning in NC childcare facilities; 4. Increase time outdoors playing and learning in NC family child care homes through professional development and technical assistance. Today, we discussed ways to create a natural learning environment in the outdoor spaces. Some of the ideas included a music wall made from kitchen accessories, a garden that the children can help plant, and a science center. I encourage you to check out naturallearning.org to find resources and professional development options for ways to enhance your outdoor learning environments. 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 .0803 · Violation

Name of Operation: LATITUDE KIDS CARE Facility ID: 25000584 Consultant: BRITTANY JONES Operation Type: Center Case Number: Visit Date: 8/15/2024 Number Present: 41 Completed Date: 8/15/2024 Age: From 0 To 5 Total Minutes: 175 Time In: 09:55 AM Time Out: 12:35 PM Time In: 04:00 PM Time Out: 04:15 PM 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. Michelle O’Kelley, Child Care Consultant, accompanied me on today’s visit. L. Fletcher, Administrator, assisted me with today’s visit. Your program currently operates with a Notice of Compliance effective 5/8/2020. The last annual compliance visit was conducted 2/8/24. The sanitation inspection was completed on 6/6/24 with a “Superior” classification. The last fire inspection was conducted 10/24/23. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty one percent as of 8/6/24. The NC Secretary of State website was reviewed on 8/6/24 and this facility is not currently owned or operated by a corporation. Please contact me prior to and changes regarding the ownership of this facility. You visited each indoor and outdoor space with me. Children throughout the facility were participating in free play in activity areas, transitions, and personal care routines. Infants were napping and sitting at the table to eat lunch. Preschoolers were observed in the outdoor space climbing on the climber and pretending to ride on the bus structure. The outdoor space was observed to have portable houses, riding toys, and balls for the children to engage in gross motor activities. Lunch was observed and included fish sticks, rice, peaches, and milk. The following violation(s) were documented. Violation Number Comment Rule 209 Children used space that was not approved. Space #5 was structurally renovated by removing a wall and reconstructed to enlarge the space. The consultant was not notified that the changes were made. The space had not been measured or approved for capacity or safety. GS 110-91(1)&(4-5) 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. Upon arrival to the center, a staff member assigned to space #4 left the classroom space to open the front door. In space #4, ten (10) children one year of age, were in care with one staff member. GS 110-91(7);.0713(a-d) 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. Lunch was observed and included fish sticks, rice, peaches, and milk. 10A NCAC 09 .0901(a) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. Fire drills for the months of June and July were not documented. .0604(t); .0302(d)(5) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In space #4, Equate sunscreen, Coppertone sunscreen, and Aquaphor Chapstick was on file without written permission from the parent. 10A NCAC 09 .0803(1)(a & b) 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 #4, medication forms for four (4) bottles of Tylenol were expired. In space #4, written permission for an Albuterol inhaler expired on 3/29/24. .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. The violation(s) documented must be corrected immediately. On or before 8/29/24, 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 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: Staff/Child Ratio: Staff/child ratios must be met at all times while caring for children in a center. If a teacher needs to leave the room, another staff member needs to be notified so they can cover the ratio while teacher is out of the room. A communication system, such as phones or walkie talkies, can be utilized so it is easy for teachers to inform others when they need assistance. Upon arrival to the center, a staff member assigned to space #4 left the classroom space to open the front door. In space #4, ten (10) children one year of age, were in care with one staff member. We discussed that staff members should use their walkie talkies to call for assistance to open the door, rather than leaving their classroom out of ratio. Ensure that all staff members have access to a walkie talkie at all times to be able to call for immediate assistance when needed. Unapproved Space: A major part of a child’s day is spent indoors. Children learn through their own experiences, trial and error, repetition, and imitation. Previous spaces used by children in your facility have been inspected, intentionally planned, measured and approved to prevent and reduce injuries and to promote all areas of a child’s development. It was brought to our attention that space #5 had recently been enlarged by moving a wall. When structural changes are made, a building, fire, and sanitation inspection are required before approving the space. The consultant was not notified that the changes were made. The space had not been measured or approved for capacity or safety. You stated that you were unaware that inspections were needed for the renovation. Request for these inspections to be completed and send them to me. The consultant must be notified when you plan to make these types of changes and given time to complete a visit to measure and approve the changes before use by the children. A return visit to measure and approve the spaces will be made. 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 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 #4, Equate sunscreen, Coppertone sunscreen, and Aquaphor Chapstick was on file without written permission from the parent. In space #4, medication forms for four (4) bottles of Tylenol were expired. In space #4, written permission for an Albuterol inhaler expired on 3/29/24. You stated that you had just returned from maternity leave and had not had a chance to check medications. You also stated that you have assigned classroom staff to check their medications monthly and have created a list of medications with the expiration dates of the forms. We discussed to use a calendar to document expiration dates in addition to the chart and to send medication home when they are no longer needed. Ensure that medications are checked frequently to ensure that medication permission forms are updated before they expire. Nutrition: Nourishing and attractive food is the cornerstone for children’s health, growth, and development as well as developmentally appropriate learning experiences. Nutrition and feeding are essential and required in every facility. Meals and snacks served to children in a child care center shall comply with the Meal Patterns for Children in Child Care Programs from the United States Department of Agriculture (USDA) which are based on the recommended nutrient intake judged by the National Research Council to be adequate for maintaining good nutrition. Lunch must have five components. Lunch was observed and included fish sticks, rice, peaches, and milk. We discussed that a vegetable is needed to meet the requirements. I shared with you the USDA Child Meal Pattern for lunch during the visit to use with the menu I shared with you in a previous visit that states all the components needed for meals. We looked over the menu together and discussed the meals that were lacking a component for you to update and you updated the menu during the visit to meet the components needed. Check the meal patterns for each meal to ensure that you serve all required components. Fire Drill: Intentional planning of monthly fire drills ensures that emergency preparedness drills are being conducted in case of an emergency. Documentation of each fire drill should include the date that the drill is held, the time of the day, the length of time taken to evacuate the home, and the operator’s signature. Fire drills for the months of June and July were not documented. You stated that you complete the fire drills and they were not completed due to your absence. Ensure that if you are out on leave, that the person in charge is aware of monthly tasks so that are completed on time. Additional Comments: Natural Learning Initiative: Time outdoors is a critical tool for supporting mental and physical health in young children. Adoption of best practices for outdoor play and learning spaces is critical to increase daily time spent outside. The four components of this project include: 1. Relaunch a supportive network for outdoor play and learning environments in North Carolina; 2. Research nature-based programs and spaces and develop a plan to embed these in licensed childcare in North Carolina; 3. Motivate and train early educators and specialists to promote best practices and increase time in outdoor play and learning in NC childcare facilities; 4. Increase time outdoors playing and learning in NC family child care homes through professional development and technical assistance. Today, we discussed ways to create a natural learning environment in the outdoor spaces. Some of the ideas included a music wall made from kitchen accessories, a garden that the children can help plant, and a science center. I encourage you to check out naturallearning.org to find resources and professional development options for ways to enhance your outdoor learning environments. 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

GS 110-91 · Violation

Name of Operation: LATITUDE KIDS CARE Facility ID: 25000584 Consultant: BRITTANY JONES Operation Type: Center Case Number: Visit Date: 8/15/2024 Number Present: 41 Completed Date: 8/15/2024 Age: From 0 To 5 Total Minutes: 175 Time In: 09:55 AM Time Out: 12:35 PM Time In: 04:00 PM Time Out: 04:15 PM 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. Michelle O’Kelley, Child Care Consultant, accompanied me on today’s visit. L. Fletcher, Administrator, assisted me with today’s visit. Your program currently operates with a Notice of Compliance effective 5/8/2020. The last annual compliance visit was conducted 2/8/24. The sanitation inspection was completed on 6/6/24 with a “Superior” classification. The last fire inspection was conducted 10/24/23. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty one percent as of 8/6/24. The NC Secretary of State website was reviewed on 8/6/24 and this facility is not currently owned or operated by a corporation. Please contact me prior to and changes regarding the ownership of this facility. You visited each indoor and outdoor space with me. Children throughout the facility were participating in free play in activity areas, transitions, and personal care routines. Infants were napping and sitting at the table to eat lunch. Preschoolers were observed in the outdoor space climbing on the climber and pretending to ride on the bus structure. The outdoor space was observed to have portable houses, riding toys, and balls for the children to engage in gross motor activities. Lunch was observed and included fish sticks, rice, peaches, and milk. The following violation(s) were documented. Violation Number Comment Rule 209 Children used space that was not approved. Space #5 was structurally renovated by removing a wall and reconstructed to enlarge the space. The consultant was not notified that the changes were made. The space had not been measured or approved for capacity or safety. GS 110-91(1)&(4-5) 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. Upon arrival to the center, a staff member assigned to space #4 left the classroom space to open the front door. In space #4, ten (10) children one year of age, were in care with one staff member. GS 110-91(7);.0713(a-d) 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. Lunch was observed and included fish sticks, rice, peaches, and milk. 10A NCAC 09 .0901(a) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. Fire drills for the months of June and July were not documented. .0604(t); .0302(d)(5) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In space #4, Equate sunscreen, Coppertone sunscreen, and Aquaphor Chapstick was on file without written permission from the parent. 10A NCAC 09 .0803(1)(a & b) 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 #4, medication forms for four (4) bottles of Tylenol were expired. In space #4, written permission for an Albuterol inhaler expired on 3/29/24. .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. The violation(s) documented must be corrected immediately. On or before 8/29/24, 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 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: Staff/Child Ratio: Staff/child ratios must be met at all times while caring for children in a center. If a teacher needs to leave the room, another staff member needs to be notified so they can cover the ratio while teacher is out of the room. A communication system, such as phones or walkie talkies, can be utilized so it is easy for teachers to inform others when they need assistance. Upon arrival to the center, a staff member assigned to space #4 left the classroom space to open the front door. In space #4, ten (10) children one year of age, were in care with one staff member. We discussed that staff members should use their walkie talkies to call for assistance to open the door, rather than leaving their classroom out of ratio. Ensure that all staff members have access to a walkie talkie at all times to be able to call for immediate assistance when needed. Unapproved Space: A major part of a child’s day is spent indoors. Children learn through their own experiences, trial and error, repetition, and imitation. Previous spaces used by children in your facility have been inspected, intentionally planned, measured and approved to prevent and reduce injuries and to promote all areas of a child’s development. It was brought to our attention that space #5 had recently been enlarged by moving a wall. When structural changes are made, a building, fire, and sanitation inspection are required before approving the space. The consultant was not notified that the changes were made. The space had not been measured or approved for capacity or safety. You stated that you were unaware that inspections were needed for the renovation. Request for these inspections to be completed and send them to me. The consultant must be notified when you plan to make these types of changes and given time to complete a visit to measure and approve the changes before use by the children. A return visit to measure and approve the spaces will be made. 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 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 #4, Equate sunscreen, Coppertone sunscreen, and Aquaphor Chapstick was on file without written permission from the parent. In space #4, medication forms for four (4) bottles of Tylenol were expired. In space #4, written permission for an Albuterol inhaler expired on 3/29/24. You stated that you had just returned from maternity leave and had not had a chance to check medications. You also stated that you have assigned classroom staff to check their medications monthly and have created a list of medications with the expiration dates of the forms. We discussed to use a calendar to document expiration dates in addition to the chart and to send medication home when they are no longer needed. Ensure that medications are checked frequently to ensure that medication permission forms are updated before they expire. Nutrition: Nourishing and attractive food is the cornerstone for children’s health, growth, and development as well as developmentally appropriate learning experiences. Nutrition and feeding are essential and required in every facility. Meals and snacks served to children in a child care center shall comply with the Meal Patterns for Children in Child Care Programs from the United States Department of Agriculture (USDA) which are based on the recommended nutrient intake judged by the National Research Council to be adequate for maintaining good nutrition. Lunch must have five components. Lunch was observed and included fish sticks, rice, peaches, and milk. We discussed that a vegetable is needed to meet the requirements. I shared with you the USDA Child Meal Pattern for lunch during the visit to use with the menu I shared with you in a previous visit that states all the components needed for meals. We looked over the menu together and discussed the meals that were lacking a component for you to update and you updated the menu during the visit to meet the components needed. Check the meal patterns for each meal to ensure that you serve all required components. Fire Drill: Intentional planning of monthly fire drills ensures that emergency preparedness drills are being conducted in case of an emergency. Documentation of each fire drill should include the date that the drill is held, the time of the day, the length of time taken to evacuate the home, and the operator’s signature. Fire drills for the months of June and July were not documented. You stated that you complete the fire drills and they were not completed due to your absence. Ensure that if you are out on leave, that the person in charge is aware of monthly tasks so that are completed on time. Additional Comments: Natural Learning Initiative: Time outdoors is a critical tool for supporting mental and physical health in young children. Adoption of best practices for outdoor play and learning spaces is critical to increase daily time spent outside. The four components of this project include: 1. Relaunch a supportive network for outdoor play and learning environments in North Carolina; 2. Research nature-based programs and spaces and develop a plan to embed these in licensed childcare in North Carolina; 3. Motivate and train early educators and specialists to promote best practices and increase time in outdoor play and learning in NC childcare facilities; 4. Increase time outdoors playing and learning in NC family child care homes through professional development and technical assistance. Today, we discussed ways to create a natural learning environment in the outdoor spaces. Some of the ideas included a music wall made from kitchen accessories, a garden that the children can help plant, and a science center. I encourage you to check out naturallearning.org to find resources and professional development options for ways to enhance your outdoor learning environments. 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: LATITUDE KIDS CARE Facility ID: 25000584 Consultant: BRITTANY JONES Operation Type: Center Case Number: Visit Date: 8/15/2024 Number Present: 41 Completed Date: 8/15/2024 Age: From 0 To 5 Total Minutes: 175 Time In: 09:55 AM Time Out: 12:35 PM Time In: 04:00 PM Time Out: 04:15 PM 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. Michelle O’Kelley, Child Care Consultant, accompanied me on today’s visit. L. Fletcher, Administrator, assisted me with today’s visit. Your program currently operates with a Notice of Compliance effective 5/8/2020. The last annual compliance visit was conducted 2/8/24. The sanitation inspection was completed on 6/6/24 with a “Superior” classification. The last fire inspection was conducted 10/24/23. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty one percent as of 8/6/24. The NC Secretary of State website was reviewed on 8/6/24 and this facility is not currently owned or operated by a corporation. Please contact me prior to and changes regarding the ownership of this facility. You visited each indoor and outdoor space with me. Children throughout the facility were participating in free play in activity areas, transitions, and personal care routines. Infants were napping and sitting at the table to eat lunch. Preschoolers were observed in the outdoor space climbing on the climber and pretending to ride on the bus structure. The outdoor space was observed to have portable houses, riding toys, and balls for the children to engage in gross motor activities. Lunch was observed and included fish sticks, rice, peaches, and milk. The following violation(s) were documented. Violation Number Comment Rule 209 Children used space that was not approved. Space #5 was structurally renovated by removing a wall and reconstructed to enlarge the space. The consultant was not notified that the changes were made. The space had not been measured or approved for capacity or safety. GS 110-91(1)&(4-5) 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. Upon arrival to the center, a staff member assigned to space #4 left the classroom space to open the front door. In space #4, ten (10) children one year of age, were in care with one staff member. GS 110-91(7);.0713(a-d) 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. Lunch was observed and included fish sticks, rice, peaches, and milk. 10A NCAC 09 .0901(a) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. Fire drills for the months of June and July were not documented. .0604(t); .0302(d)(5) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In space #4, Equate sunscreen, Coppertone sunscreen, and Aquaphor Chapstick was on file without written permission from the parent. 10A NCAC 09 .0803(1)(a & b) 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 #4, medication forms for four (4) bottles of Tylenol were expired. In space #4, written permission for an Albuterol inhaler expired on 3/29/24. .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. The violation(s) documented must be corrected immediately. On or before 8/29/24, 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 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: Staff/Child Ratio: Staff/child ratios must be met at all times while caring for children in a center. If a teacher needs to leave the room, another staff member needs to be notified so they can cover the ratio while teacher is out of the room. A communication system, such as phones or walkie talkies, can be utilized so it is easy for teachers to inform others when they need assistance. Upon arrival to the center, a staff member assigned to space #4 left the classroom space to open the front door. In space #4, ten (10) children one year of age, were in care with one staff member. We discussed that staff members should use their walkie talkies to call for assistance to open the door, rather than leaving their classroom out of ratio. Ensure that all staff members have access to a walkie talkie at all times to be able to call for immediate assistance when needed. Unapproved Space: A major part of a child’s day is spent indoors. Children learn through their own experiences, trial and error, repetition, and imitation. Previous spaces used by children in your facility have been inspected, intentionally planned, measured and approved to prevent and reduce injuries and to promote all areas of a child’s development. It was brought to our attention that space #5 had recently been enlarged by moving a wall. When structural changes are made, a building, fire, and sanitation inspection are required before approving the space. The consultant was not notified that the changes were made. The space had not been measured or approved for capacity or safety. You stated that you were unaware that inspections were needed for the renovation. Request for these inspections to be completed and send them to me. The consultant must be notified when you plan to make these types of changes and given time to complete a visit to measure and approve the changes before use by the children. A return visit to measure and approve the spaces will be made. 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 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 #4, Equate sunscreen, Coppertone sunscreen, and Aquaphor Chapstick was on file without written permission from the parent. In space #4, medication forms for four (4) bottles of Tylenol were expired. In space #4, written permission for an Albuterol inhaler expired on 3/29/24. You stated that you had just returned from maternity leave and had not had a chance to check medications. You also stated that you have assigned classroom staff to check their medications monthly and have created a list of medications with the expiration dates of the forms. We discussed to use a calendar to document expiration dates in addition to the chart and to send medication home when they are no longer needed. Ensure that medications are checked frequently to ensure that medication permission forms are updated before they expire. Nutrition: Nourishing and attractive food is the cornerstone for children’s health, growth, and development as well as developmentally appropriate learning experiences. Nutrition and feeding are essential and required in every facility. Meals and snacks served to children in a child care center shall comply with the Meal Patterns for Children in Child Care Programs from the United States Department of Agriculture (USDA) which are based on the recommended nutrient intake judged by the National Research Council to be adequate for maintaining good nutrition. Lunch must have five components. Lunch was observed and included fish sticks, rice, peaches, and milk. We discussed that a vegetable is needed to meet the requirements. I shared with you the USDA Child Meal Pattern for lunch during the visit to use with the menu I shared with you in a previous visit that states all the components needed for meals. We looked over the menu together and discussed the meals that were lacking a component for you to update and you updated the menu during the visit to meet the components needed. Check the meal patterns for each meal to ensure that you serve all required components. Fire Drill: Intentional planning of monthly fire drills ensures that emergency preparedness drills are being conducted in case of an emergency. Documentation of each fire drill should include the date that the drill is held, the time of the day, the length of time taken to evacuate the home, and the operator’s signature. Fire drills for the months of June and July were not documented. You stated that you complete the fire drills and they were not completed due to your absence. Ensure that if you are out on leave, that the person in charge is aware of monthly tasks so that are completed on time. Additional Comments: Natural Learning Initiative: Time outdoors is a critical tool for supporting mental and physical health in young children. Adoption of best practices for outdoor play and learning spaces is critical to increase daily time spent outside. The four components of this project include: 1. Relaunch a supportive network for outdoor play and learning environments in North Carolina; 2. Research nature-based programs and spaces and develop a plan to embed these in licensed childcare in North Carolina; 3. Motivate and train early educators and specialists to promote best practices and increase time in outdoor play and learning in NC childcare facilities; 4. Increase time outdoors playing and learning in NC family child care homes through professional development and technical assistance. Today, we discussed ways to create a natural learning environment in the outdoor spaces. Some of the ideas included a music wall made from kitchen accessories, a garden that the children can help plant, and a science center. I encourage you to check out naturallearning.org to find resources and professional development options for ways to enhance your outdoor learning environments. 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 .0601 · Violation

Name of Operation: LATITUDE KIDS CARE Facility ID: 25000584 Consultant: BRITTANY JONES Operation Type: Center Case Number: Visit Date: 2/8/2024 Number Present: 49 Completed Date: 2/8/2024 Age: From 0 To 5 Total Minutes: 240 Time In: 09:30 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. Jennifer Linhardt, Licensing Supervisor, accompanied me on today’s visit. L. Fletcher, Administrator, assisted me with the visit. Your program currently operates with a Notice of Compliance effective 5/8/2020. The last annual compliance visit was conducted 3/15/23. The sanitation inspection was completed 12/12/23 with a “Superior” classification. The last fire inspection was conducted 10/24/23 and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty four percent as of 2/2/24. The NC Secretary of State website was reviewed on 2/2/24 and this facility is not currently owned or operated by a corporation. Please contact me prior to and changes regarding the ownership of this facility. 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. All indoor and outdoor spaces were monitored. Children throughout the facility were participating in free play in activity areas, transitions, and personal care routines. Children under twelve months of age received care according to individual needs including bottle feeding. Toddlers were observed in the outdoor space pushing large trucks and kicking balls. The outdoor space was observed to have portable climbers, riding toys, and balls for the children to engage in gross motor activities. Lunch was observed and consisted of meatballs, corn, pears, and milk. The following violation(s) were documented. Violation Number Comment Rule 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. Lunch was observed and included meatballs, corn, pears, and milk. A grain component was not offered. 10A NCAC 09 .0901(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. A menu was not posted where it could easily be seen by parents. 10A NCAC 09 .0901(b) 807 A safe indoor and outdoor environment was not provided for the children. Landscaping paper was exposed throughout both outdoor spaces creating tripping hazards. In outdoor space #1, the containment barrier for mulch had a warped wooden board curved upwards 8 inches from the ground causing an entrapment hazard. 10A NCAC 09 .0601(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. In space #4, Great Value disinfectant wipes and Coleman alcohol sanitizing wipes were stored on a shelf beside children’s cubbies. In space #1 and space #3, hand sanitizer was on a shelf below five feet. .2820(b) 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 #5, a tube of Eucerin Eczema Relief Cream had written authorization that expired 1/13/24. In space #4, Children’s Motrin, Children’s Tylenol, and Camilia Liquid Doses had written authorization that expired 1/1/24. .0803(12) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff member hired on 2/8/23 had a medical report on file dated 11/2/2020. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One staff member hired on 2/8/23 had a medical report of TB skin test on file dated 11/2/2020. .0701(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 #5, a cup of iced coffee from Starbucks and a cup of iced coffee from Burger King were present. .0901(i) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. A staff member hired on 2/8/23 and a staff member hired on 8/28/23 did not complete child maltreatment training. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. A staff member hired on 2/8/2023 did not complete Health and Safety Training by 2/8/2024. .1102(a) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. A staff member hired 5/11/2020 completed Health and Safety training on 3/7/2018. .1103(b) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 2/22/24, 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: 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: Outdoor 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. Landscaping paper was exposed throughout both outdoor spaces creating a tripping hazard. In outdoor space #1, the containment barrier for mulch had a warped wooden board curved upwards 8 inches from the ground causing an entrapment hazard. We discussed that keeping the mulch raked will prevent the landscaping paper from being exposed. You stated that heavy rainfall causes flooding of the outdoor space and could have caused the wood to warp. Replace the wood or fix so that it is level with the ground. It would be helpful to use the playground inspection forms when monitoring the outdoor spaces. Medication Permission Forms: All medications for children present at the center must have a current, completed medication permission form even if there is a Medical Action Plan. The medication permission forms provide additional information that could be critical to the administration of the medication and the care of the child. Medication permission forms are valid for a defined length of time and must be updated, if needed. In space #5, a tube of Eucerin Eczema Relief Cream had written authorization that expired 1/13/24. In space #4, Children’s Motrin, Children’s Tylenol, and Camilia Liquid Doses had written authorization that expired 1/1/24. We discussed that over-the-counter medication authorizations are valid for 30 days. We discussed that before 30 days pass, have a conversation with the parent to determine if the medication needs a new authorization or can be sent home. It would be helpful to set a reminder on the tablet in the classroom and to add checking medications every month. You stated that the teachers have a monthly checklist that includes checking medication forms. We discussed that it would beneficial to assign a staff member to accept medication and check the medication forms before they are placed in the classroom. You stated that you had someone in mind to oversee medication. Use the Medication Flyer I shared with you when accepting medication to ensure that medication forms are completed correctly. Nutrition: Nourishing and attractive food is the cornerstone for children’s health, growth, and development as well as developmentally appropriate learning experiences. Nutrition and feeding are essential and required in every facility. Meals and snacks served to children in a child care center shall comply with the Meal Patterns for Children in Child Care Programs from the United States Department of Agriculture (USDA) which are based on the recommended nutrient intake judged by the National Research Council to be adequate for maintaining good nutrition. Lunch was observed and included meatballs, corn, pears, and milk. A grain component was not offered. We discussed the Meal Patterns for Children and the components that are needed for each meal and the meals that are currently on your menu. You stated that you were going to place the Meal Patterns in each classroom. We also discussed that using the menu template that has the components and serving sizes documented will ensure that all components are being served. Parents/guardians need to be informed about food served in the facility to know how to complement it with the food they serve at home. A menu was not posted. We discussed that a menu needs to be posted even though it is shared to parents via the Brightwheel app. 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 #5, a cup of iced coffee from Starbucks and a cup of iced coffee from Burger King were present. We discussed that staff members should only have beverages in the classroom that children can drink as caregivers are their role models. It would be beneficial to discuss the Meal Patterns for Children during the next staff meeting. Health & Safety Training: Health & Safety (H&S) Training includes training in 9 topic areas plus Recognizing and Responding to Suspicions of Child Maltreatment and CPR/First Aid. New staff are required to complete H&S Training within one year of hire (CPR/First Aid and Recognizing and Responding to Suspicions of Child Maltreatment within 3 months of hire) and then complete training in all topic areas every five years. A staff member hired on 2/8/2023 did not complete Health & Safety Training by 2/8/2024. You stated that the staff member was out sick and would complete them before returning to work. A staff member hired 5/11/2020 completed Health and Safety training on 3/7/2018. You stated that you were unaware that the health and safety trainings needed to be updated every five years and the staff member will complete them. Free H&S Training developed specifically for North Carolina is available in Moodle on the DCDEE website. Other options may be used if they are approved by DCDEE. Complete Recognizing and Responding to Suspicions of Child Maltreatment at www.preventchildabusenc.org. (Any approved training related to Child Maltreatment can be used to meet this topic area for the five-year cycle.) A staff member hired on 2/8/23 and a staff member hired on 8/28/23 did not complete child maltreatment training. We discussed that due to your facility participating in the subsidy program, these health and safety trainings are required. Use the Health & Safety Training Log to document and track all H&S Training and attach certificate for each training topic area to log. These trainings can also be used to meet annual on-going training requirements. Use your staff worksheets and create a “tickler” to send a reminder to your phone or email several months before the health and safety trainings are due. You can also use it to track due dates for items that expire such as Criminal Background Checks, ITS/SIDS Training, Health & Safety Training, etc. Staff Records: The health and safety of children requires that information regarding each staff working with the children should be kept and available when needed. Staff records consist of various documentation to include emergency contact information. A Staff Medical Report and TB Screening/Test is due for new employees by their first day of work and not be older than 12 months to ensure they are physically, mentally, and emotionally well enough to care for children in a busy, rigorous environment. One staff member hired on 2/8/23 had a medical report and a medical report of TB skin test on file dated 11/2/2020. We discussed that when a staff member is no longer employed with the center, they need to complete new employee documentation if they are rehired to the center. It would be helpful to use the current Staff and Training Worksheet to help you verify that all required forms are on file. Placing each form in the same order as the worksheet makes it even quicker and easier to review files and update the worksheet. Storage of Hazardous Items: Intentional planning of the environment ensures a safe environment has been created which prevents and reduces injuries to young children. In space #4, Great Value disinfectant wipes and Coleman alcohol sanitizing wipes were stored on a shelf beside children’s cubbies. In space #1 and space #3, hand sanitizer was on a shelf below five feet. You corrected these violations during the visit. You stated that you have talked with your staff many times about hazardous storage, but it continues to occur. We discussed that it would be helpful for a staff member that opens the building to monitor classroom spaces before the children arrive to ensure that all hazards are stored properly. Additional Comments: Outdoor Environment: The program should select, for both indoor and outdoor play and learning, developmentally appropriate equipment, and materials, for safety, for its ability to provide large and small motor experiences, and for its adaptability to serve many different ideas, functions, and forms of creative expression. Today we discussed the portable equipment in the outdoor spaces including the climbing dome. The climbing dome is large for the outdoor space and does not leave ample space around the structure. We discussed that where it is located it is near a water spicket and moving it to the opposite side of the space would offer more room around it. We also discussed the best practices of outdoor safety and where to find it in the child care rules. Chapter 9: Child Care Rules have been updated as of 1/1/2024. These include changes that have been made in December 2023 and January 2024. These rules can be found on the Division’s website at https://ncchildcare.ncdhhs.gov/Services/Child-Care-Rules-Law-and-Public-Information. It would be helpful to download a copy of the rules to your desktop to access quickly and use the find feature to search for the subject. Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle Support. To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. 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, (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 .0901 · Violation

Name of Operation: LATITUDE KIDS CARE Facility ID: 25000584 Consultant: BRITTANY JONES Operation Type: Center Case Number: Visit Date: 2/8/2024 Number Present: 49 Completed Date: 2/8/2024 Age: From 0 To 5 Total Minutes: 240 Time In: 09:30 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. Jennifer Linhardt, Licensing Supervisor, accompanied me on today’s visit. L. Fletcher, Administrator, assisted me with the visit. Your program currently operates with a Notice of Compliance effective 5/8/2020. The last annual compliance visit was conducted 3/15/23. The sanitation inspection was completed 12/12/23 with a “Superior” classification. The last fire inspection was conducted 10/24/23 and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty four percent as of 2/2/24. The NC Secretary of State website was reviewed on 2/2/24 and this facility is not currently owned or operated by a corporation. Please contact me prior to and changes regarding the ownership of this facility. 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. All indoor and outdoor spaces were monitored. Children throughout the facility were participating in free play in activity areas, transitions, and personal care routines. Children under twelve months of age received care according to individual needs including bottle feeding. Toddlers were observed in the outdoor space pushing large trucks and kicking balls. The outdoor space was observed to have portable climbers, riding toys, and balls for the children to engage in gross motor activities. Lunch was observed and consisted of meatballs, corn, pears, and milk. The following violation(s) were documented. Violation Number Comment Rule 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. Lunch was observed and included meatballs, corn, pears, and milk. A grain component was not offered. 10A NCAC 09 .0901(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. A menu was not posted where it could easily be seen by parents. 10A NCAC 09 .0901(b) 807 A safe indoor and outdoor environment was not provided for the children. Landscaping paper was exposed throughout both outdoor spaces creating tripping hazards. In outdoor space #1, the containment barrier for mulch had a warped wooden board curved upwards 8 inches from the ground causing an entrapment hazard. 10A NCAC 09 .0601(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. In space #4, Great Value disinfectant wipes and Coleman alcohol sanitizing wipes were stored on a shelf beside children’s cubbies. In space #1 and space #3, hand sanitizer was on a shelf below five feet. .2820(b) 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 #5, a tube of Eucerin Eczema Relief Cream had written authorization that expired 1/13/24. In space #4, Children’s Motrin, Children’s Tylenol, and Camilia Liquid Doses had written authorization that expired 1/1/24. .0803(12) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff member hired on 2/8/23 had a medical report on file dated 11/2/2020. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One staff member hired on 2/8/23 had a medical report of TB skin test on file dated 11/2/2020. .0701(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 #5, a cup of iced coffee from Starbucks and a cup of iced coffee from Burger King were present. .0901(i) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. A staff member hired on 2/8/23 and a staff member hired on 8/28/23 did not complete child maltreatment training. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. A staff member hired on 2/8/2023 did not complete Health and Safety Training by 2/8/2024. .1102(a) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. A staff member hired 5/11/2020 completed Health and Safety training on 3/7/2018. .1103(b) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 2/22/24, 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: 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: Outdoor 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. Landscaping paper was exposed throughout both outdoor spaces creating a tripping hazard. In outdoor space #1, the containment barrier for mulch had a warped wooden board curved upwards 8 inches from the ground causing an entrapment hazard. We discussed that keeping the mulch raked will prevent the landscaping paper from being exposed. You stated that heavy rainfall causes flooding of the outdoor space and could have caused the wood to warp. Replace the wood or fix so that it is level with the ground. It would be helpful to use the playground inspection forms when monitoring the outdoor spaces. Medication Permission Forms: All medications for children present at the center must have a current, completed medication permission form even if there is a Medical Action Plan. The medication permission forms provide additional information that could be critical to the administration of the medication and the care of the child. Medication permission forms are valid for a defined length of time and must be updated, if needed. In space #5, a tube of Eucerin Eczema Relief Cream had written authorization that expired 1/13/24. In space #4, Children’s Motrin, Children’s Tylenol, and Camilia Liquid Doses had written authorization that expired 1/1/24. We discussed that over-the-counter medication authorizations are valid for 30 days. We discussed that before 30 days pass, have a conversation with the parent to determine if the medication needs a new authorization or can be sent home. It would be helpful to set a reminder on the tablet in the classroom and to add checking medications every month. You stated that the teachers have a monthly checklist that includes checking medication forms. We discussed that it would beneficial to assign a staff member to accept medication and check the medication forms before they are placed in the classroom. You stated that you had someone in mind to oversee medication. Use the Medication Flyer I shared with you when accepting medication to ensure that medication forms are completed correctly. Nutrition: Nourishing and attractive food is the cornerstone for children’s health, growth, and development as well as developmentally appropriate learning experiences. Nutrition and feeding are essential and required in every facility. Meals and snacks served to children in a child care center shall comply with the Meal Patterns for Children in Child Care Programs from the United States Department of Agriculture (USDA) which are based on the recommended nutrient intake judged by the National Research Council to be adequate for maintaining good nutrition. Lunch was observed and included meatballs, corn, pears, and milk. A grain component was not offered. We discussed the Meal Patterns for Children and the components that are needed for each meal and the meals that are currently on your menu. You stated that you were going to place the Meal Patterns in each classroom. We also discussed that using the menu template that has the components and serving sizes documented will ensure that all components are being served. Parents/guardians need to be informed about food served in the facility to know how to complement it with the food they serve at home. A menu was not posted. We discussed that a menu needs to be posted even though it is shared to parents via the Brightwheel app. 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 #5, a cup of iced coffee from Starbucks and a cup of iced coffee from Burger King were present. We discussed that staff members should only have beverages in the classroom that children can drink as caregivers are their role models. It would be beneficial to discuss the Meal Patterns for Children during the next staff meeting. Health & Safety Training: Health & Safety (H&S) Training includes training in 9 topic areas plus Recognizing and Responding to Suspicions of Child Maltreatment and CPR/First Aid. New staff are required to complete H&S Training within one year of hire (CPR/First Aid and Recognizing and Responding to Suspicions of Child Maltreatment within 3 months of hire) and then complete training in all topic areas every five years. A staff member hired on 2/8/2023 did not complete Health & Safety Training by 2/8/2024. You stated that the staff member was out sick and would complete them before returning to work. A staff member hired 5/11/2020 completed Health and Safety training on 3/7/2018. You stated that you were unaware that the health and safety trainings needed to be updated every five years and the staff member will complete them. Free H&S Training developed specifically for North Carolina is available in Moodle on the DCDEE website. Other options may be used if they are approved by DCDEE. Complete Recognizing and Responding to Suspicions of Child Maltreatment at www.preventchildabusenc.org. (Any approved training related to Child Maltreatment can be used to meet this topic area for the five-year cycle.) A staff member hired on 2/8/23 and a staff member hired on 8/28/23 did not complete child maltreatment training. We discussed that due to your facility participating in the subsidy program, these health and safety trainings are required. Use the Health & Safety Training Log to document and track all H&S Training and attach certificate for each training topic area to log. These trainings can also be used to meet annual on-going training requirements. Use your staff worksheets and create a “tickler” to send a reminder to your phone or email several months before the health and safety trainings are due. You can also use it to track due dates for items that expire such as Criminal Background Checks, ITS/SIDS Training, Health & Safety Training, etc. Staff Records: The health and safety of children requires that information regarding each staff working with the children should be kept and available when needed. Staff records consist of various documentation to include emergency contact information. A Staff Medical Report and TB Screening/Test is due for new employees by their first day of work and not be older than 12 months to ensure they are physically, mentally, and emotionally well enough to care for children in a busy, rigorous environment. One staff member hired on 2/8/23 had a medical report and a medical report of TB skin test on file dated 11/2/2020. We discussed that when a staff member is no longer employed with the center, they need to complete new employee documentation if they are rehired to the center. It would be helpful to use the current Staff and Training Worksheet to help you verify that all required forms are on file. Placing each form in the same order as the worksheet makes it even quicker and easier to review files and update the worksheet. Storage of Hazardous Items: Intentional planning of the environment ensures a safe environment has been created which prevents and reduces injuries to young children. In space #4, Great Value disinfectant wipes and Coleman alcohol sanitizing wipes were stored on a shelf beside children’s cubbies. In space #1 and space #3, hand sanitizer was on a shelf below five feet. You corrected these violations during the visit. You stated that you have talked with your staff many times about hazardous storage, but it continues to occur. We discussed that it would be helpful for a staff member that opens the building to monitor classroom spaces before the children arrive to ensure that all hazards are stored properly. Additional Comments: Outdoor Environment: The program should select, for both indoor and outdoor play and learning, developmentally appropriate equipment, and materials, for safety, for its ability to provide large and small motor experiences, and for its adaptability to serve many different ideas, functions, and forms of creative expression. Today we discussed the portable equipment in the outdoor spaces including the climbing dome. The climbing dome is large for the outdoor space and does not leave ample space around the structure. We discussed that where it is located it is near a water spicket and moving it to the opposite side of the space would offer more room around it. We also discussed the best practices of outdoor safety and where to find it in the child care rules. Chapter 9: Child Care Rules have been updated as of 1/1/2024. These include changes that have been made in December 2023 and January 2024. These rules can be found on the Division’s website at https://ncchildcare.ncdhhs.gov/Services/Child-Care-Rules-Law-and-Public-Information. It would be helpful to download a copy of the rules to your desktop to access quickly and use the find feature to search for the subject. Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle Support. To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. 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, (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 .0701 · Violation

Name of Operation: LATITUDE KIDS CARE Facility ID: 25000584 Consultant: BRITTANY JONES Operation Type: Center Case Number: Visit Date: 2/8/2024 Number Present: 49 Completed Date: 2/8/2024 Age: From 0 To 5 Total Minutes: 240 Time In: 09:30 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. Jennifer Linhardt, Licensing Supervisor, accompanied me on today’s visit. L. Fletcher, Administrator, assisted me with the visit. Your program currently operates with a Notice of Compliance effective 5/8/2020. The last annual compliance visit was conducted 3/15/23. The sanitation inspection was completed 12/12/23 with a “Superior” classification. The last fire inspection was conducted 10/24/23 and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty four percent as of 2/2/24. The NC Secretary of State website was reviewed on 2/2/24 and this facility is not currently owned or operated by a corporation. Please contact me prior to and changes regarding the ownership of this facility. 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. All indoor and outdoor spaces were monitored. Children throughout the facility were participating in free play in activity areas, transitions, and personal care routines. Children under twelve months of age received care according to individual needs including bottle feeding. Toddlers were observed in the outdoor space pushing large trucks and kicking balls. The outdoor space was observed to have portable climbers, riding toys, and balls for the children to engage in gross motor activities. Lunch was observed and consisted of meatballs, corn, pears, and milk. The following violation(s) were documented. Violation Number Comment Rule 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. Lunch was observed and included meatballs, corn, pears, and milk. A grain component was not offered. 10A NCAC 09 .0901(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. A menu was not posted where it could easily be seen by parents. 10A NCAC 09 .0901(b) 807 A safe indoor and outdoor environment was not provided for the children. Landscaping paper was exposed throughout both outdoor spaces creating tripping hazards. In outdoor space #1, the containment barrier for mulch had a warped wooden board curved upwards 8 inches from the ground causing an entrapment hazard. 10A NCAC 09 .0601(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. In space #4, Great Value disinfectant wipes and Coleman alcohol sanitizing wipes were stored on a shelf beside children’s cubbies. In space #1 and space #3, hand sanitizer was on a shelf below five feet. .2820(b) 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 #5, a tube of Eucerin Eczema Relief Cream had written authorization that expired 1/13/24. In space #4, Children’s Motrin, Children’s Tylenol, and Camilia Liquid Doses had written authorization that expired 1/1/24. .0803(12) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff member hired on 2/8/23 had a medical report on file dated 11/2/2020. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One staff member hired on 2/8/23 had a medical report of TB skin test on file dated 11/2/2020. .0701(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 #5, a cup of iced coffee from Starbucks and a cup of iced coffee from Burger King were present. .0901(i) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. A staff member hired on 2/8/23 and a staff member hired on 8/28/23 did not complete child maltreatment training. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. A staff member hired on 2/8/2023 did not complete Health and Safety Training by 2/8/2024. .1102(a) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. A staff member hired 5/11/2020 completed Health and Safety training on 3/7/2018. .1103(b) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 2/22/24, 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: 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: Outdoor 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. Landscaping paper was exposed throughout both outdoor spaces creating a tripping hazard. In outdoor space #1, the containment barrier for mulch had a warped wooden board curved upwards 8 inches from the ground causing an entrapment hazard. We discussed that keeping the mulch raked will prevent the landscaping paper from being exposed. You stated that heavy rainfall causes flooding of the outdoor space and could have caused the wood to warp. Replace the wood or fix so that it is level with the ground. It would be helpful to use the playground inspection forms when monitoring the outdoor spaces. Medication Permission Forms: All medications for children present at the center must have a current, completed medication permission form even if there is a Medical Action Plan. The medication permission forms provide additional information that could be critical to the administration of the medication and the care of the child. Medication permission forms are valid for a defined length of time and must be updated, if needed. In space #5, a tube of Eucerin Eczema Relief Cream had written authorization that expired 1/13/24. In space #4, Children’s Motrin, Children’s Tylenol, and Camilia Liquid Doses had written authorization that expired 1/1/24. We discussed that over-the-counter medication authorizations are valid for 30 days. We discussed that before 30 days pass, have a conversation with the parent to determine if the medication needs a new authorization or can be sent home. It would be helpful to set a reminder on the tablet in the classroom and to add checking medications every month. You stated that the teachers have a monthly checklist that includes checking medication forms. We discussed that it would beneficial to assign a staff member to accept medication and check the medication forms before they are placed in the classroom. You stated that you had someone in mind to oversee medication. Use the Medication Flyer I shared with you when accepting medication to ensure that medication forms are completed correctly. Nutrition: Nourishing and attractive food is the cornerstone for children’s health, growth, and development as well as developmentally appropriate learning experiences. Nutrition and feeding are essential and required in every facility. Meals and snacks served to children in a child care center shall comply with the Meal Patterns for Children in Child Care Programs from the United States Department of Agriculture (USDA) which are based on the recommended nutrient intake judged by the National Research Council to be adequate for maintaining good nutrition. Lunch was observed and included meatballs, corn, pears, and milk. A grain component was not offered. We discussed the Meal Patterns for Children and the components that are needed for each meal and the meals that are currently on your menu. You stated that you were going to place the Meal Patterns in each classroom. We also discussed that using the menu template that has the components and serving sizes documented will ensure that all components are being served. Parents/guardians need to be informed about food served in the facility to know how to complement it with the food they serve at home. A menu was not posted. We discussed that a menu needs to be posted even though it is shared to parents via the Brightwheel app. 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 #5, a cup of iced coffee from Starbucks and a cup of iced coffee from Burger King were present. We discussed that staff members should only have beverages in the classroom that children can drink as caregivers are their role models. It would be beneficial to discuss the Meal Patterns for Children during the next staff meeting. Health & Safety Training: Health & Safety (H&S) Training includes training in 9 topic areas plus Recognizing and Responding to Suspicions of Child Maltreatment and CPR/First Aid. New staff are required to complete H&S Training within one year of hire (CPR/First Aid and Recognizing and Responding to Suspicions of Child Maltreatment within 3 months of hire) and then complete training in all topic areas every five years. A staff member hired on 2/8/2023 did not complete Health & Safety Training by 2/8/2024. You stated that the staff member was out sick and would complete them before returning to work. A staff member hired 5/11/2020 completed Health and Safety training on 3/7/2018. You stated that you were unaware that the health and safety trainings needed to be updated every five years and the staff member will complete them. Free H&S Training developed specifically for North Carolina is available in Moodle on the DCDEE website. Other options may be used if they are approved by DCDEE. Complete Recognizing and Responding to Suspicions of Child Maltreatment at www.preventchildabusenc.org. (Any approved training related to Child Maltreatment can be used to meet this topic area for the five-year cycle.) A staff member hired on 2/8/23 and a staff member hired on 8/28/23 did not complete child maltreatment training. We discussed that due to your facility participating in the subsidy program, these health and safety trainings are required. Use the Health & Safety Training Log to document and track all H&S Training and attach certificate for each training topic area to log. These trainings can also be used to meet annual on-going training requirements. Use your staff worksheets and create a “tickler” to send a reminder to your phone or email several months before the health and safety trainings are due. You can also use it to track due dates for items that expire such as Criminal Background Checks, ITS/SIDS Training, Health & Safety Training, etc. Staff Records: The health and safety of children requires that information regarding each staff working with the children should be kept and available when needed. Staff records consist of various documentation to include emergency contact information. A Staff Medical Report and TB Screening/Test is due for new employees by their first day of work and not be older than 12 months to ensure they are physically, mentally, and emotionally well enough to care for children in a busy, rigorous environment. One staff member hired on 2/8/23 had a medical report and a medical report of TB skin test on file dated 11/2/2020. We discussed that when a staff member is no longer employed with the center, they need to complete new employee documentation if they are rehired to the center. It would be helpful to use the current Staff and Training Worksheet to help you verify that all required forms are on file. Placing each form in the same order as the worksheet makes it even quicker and easier to review files and update the worksheet. Storage of Hazardous Items: Intentional planning of the environment ensures a safe environment has been created which prevents and reduces injuries to young children. In space #4, Great Value disinfectant wipes and Coleman alcohol sanitizing wipes were stored on a shelf beside children’s cubbies. In space #1 and space #3, hand sanitizer was on a shelf below five feet. You corrected these violations during the visit. You stated that you have talked with your staff many times about hazardous storage, but it continues to occur. We discussed that it would be helpful for a staff member that opens the building to monitor classroom spaces before the children arrive to ensure that all hazards are stored properly. Additional Comments: Outdoor Environment: The program should select, for both indoor and outdoor play and learning, developmentally appropriate equipment, and materials, for safety, for its ability to provide large and small motor experiences, and for its adaptability to serve many different ideas, functions, and forms of creative expression. Today we discussed the portable equipment in the outdoor spaces including the climbing dome. The climbing dome is large for the outdoor space and does not leave ample space around the structure. We discussed that where it is located it is near a water spicket and moving it to the opposite side of the space would offer more room around it. We also discussed the best practices of outdoor safety and where to find it in the child care rules. Chapter 9: Child Care Rules have been updated as of 1/1/2024. These include changes that have been made in December 2023 and January 2024. These rules can be found on the Division’s website at https://ncchildcare.ncdhhs.gov/Services/Child-Care-Rules-Law-and-Public-Information. It would be helpful to download a copy of the rules to your desktop to access quickly and use the find feature to search for the subject. Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle Support. To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. 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, (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 .0901 · Violation

Name of Operation: LATITUDE KIDS CARE Facility ID: 25000584 Consultant: BRITTANY JONES Operation Type: Center Case Number: Visit Date: 2/8/2024 Number Present: 49 Completed Date: 2/8/2024 Age: From 0 To 5 Total Minutes: 240 Time In: 09:30 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. Jennifer Linhardt, Licensing Supervisor, accompanied me on today’s visit. L. Fletcher, Administrator, assisted me with the visit. Your program currently operates with a Notice of Compliance effective 5/8/2020. The last annual compliance visit was conducted 3/15/23. The sanitation inspection was completed 12/12/23 with a “Superior” classification. The last fire inspection was conducted 10/24/23 and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty four percent as of 2/2/24. The NC Secretary of State website was reviewed on 2/2/24 and this facility is not currently owned or operated by a corporation. Please contact me prior to and changes regarding the ownership of this facility. 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. All indoor and outdoor spaces were monitored. Children throughout the facility were participating in free play in activity areas, transitions, and personal care routines. Children under twelve months of age received care according to individual needs including bottle feeding. Toddlers were observed in the outdoor space pushing large trucks and kicking balls. The outdoor space was observed to have portable climbers, riding toys, and balls for the children to engage in gross motor activities. Lunch was observed and consisted of meatballs, corn, pears, and milk. The following violation(s) were documented. Violation Number Comment Rule 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. Lunch was observed and included meatballs, corn, pears, and milk. A grain component was not offered. 10A NCAC 09 .0901(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. A menu was not posted where it could easily be seen by parents. 10A NCAC 09 .0901(b) 807 A safe indoor and outdoor environment was not provided for the children. Landscaping paper was exposed throughout both outdoor spaces creating tripping hazards. In outdoor space #1, the containment barrier for mulch had a warped wooden board curved upwards 8 inches from the ground causing an entrapment hazard. 10A NCAC 09 .0601(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. In space #4, Great Value disinfectant wipes and Coleman alcohol sanitizing wipes were stored on a shelf beside children’s cubbies. In space #1 and space #3, hand sanitizer was on a shelf below five feet. .2820(b) 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 #5, a tube of Eucerin Eczema Relief Cream had written authorization that expired 1/13/24. In space #4, Children’s Motrin, Children’s Tylenol, and Camilia Liquid Doses had written authorization that expired 1/1/24. .0803(12) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff member hired on 2/8/23 had a medical report on file dated 11/2/2020. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One staff member hired on 2/8/23 had a medical report of TB skin test on file dated 11/2/2020. .0701(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 #5, a cup of iced coffee from Starbucks and a cup of iced coffee from Burger King were present. .0901(i) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. A staff member hired on 2/8/23 and a staff member hired on 8/28/23 did not complete child maltreatment training. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. A staff member hired on 2/8/2023 did not complete Health and Safety Training by 2/8/2024. .1102(a) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. A staff member hired 5/11/2020 completed Health and Safety training on 3/7/2018. .1103(b) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 2/22/24, 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: 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: Outdoor 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. Landscaping paper was exposed throughout both outdoor spaces creating a tripping hazard. In outdoor space #1, the containment barrier for mulch had a warped wooden board curved upwards 8 inches from the ground causing an entrapment hazard. We discussed that keeping the mulch raked will prevent the landscaping paper from being exposed. You stated that heavy rainfall causes flooding of the outdoor space and could have caused the wood to warp. Replace the wood or fix so that it is level with the ground. It would be helpful to use the playground inspection forms when monitoring the outdoor spaces. Medication Permission Forms: All medications for children present at the center must have a current, completed medication permission form even if there is a Medical Action Plan. The medication permission forms provide additional information that could be critical to the administration of the medication and the care of the child. Medication permission forms are valid for a defined length of time and must be updated, if needed. In space #5, a tube of Eucerin Eczema Relief Cream had written authorization that expired 1/13/24. In space #4, Children’s Motrin, Children’s Tylenol, and Camilia Liquid Doses had written authorization that expired 1/1/24. We discussed that over-the-counter medication authorizations are valid for 30 days. We discussed that before 30 days pass, have a conversation with the parent to determine if the medication needs a new authorization or can be sent home. It would be helpful to set a reminder on the tablet in the classroom and to add checking medications every month. You stated that the teachers have a monthly checklist that includes checking medication forms. We discussed that it would beneficial to assign a staff member to accept medication and check the medication forms before they are placed in the classroom. You stated that you had someone in mind to oversee medication. Use the Medication Flyer I shared with you when accepting medication to ensure that medication forms are completed correctly. Nutrition: Nourishing and attractive food is the cornerstone for children’s health, growth, and development as well as developmentally appropriate learning experiences. Nutrition and feeding are essential and required in every facility. Meals and snacks served to children in a child care center shall comply with the Meal Patterns for Children in Child Care Programs from the United States Department of Agriculture (USDA) which are based on the recommended nutrient intake judged by the National Research Council to be adequate for maintaining good nutrition. Lunch was observed and included meatballs, corn, pears, and milk. A grain component was not offered. We discussed the Meal Patterns for Children and the components that are needed for each meal and the meals that are currently on your menu. You stated that you were going to place the Meal Patterns in each classroom. We also discussed that using the menu template that has the components and serving sizes documented will ensure that all components are being served. Parents/guardians need to be informed about food served in the facility to know how to complement it with the food they serve at home. A menu was not posted. We discussed that a menu needs to be posted even though it is shared to parents via the Brightwheel app. 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 #5, a cup of iced coffee from Starbucks and a cup of iced coffee from Burger King were present. We discussed that staff members should only have beverages in the classroom that children can drink as caregivers are their role models. It would be beneficial to discuss the Meal Patterns for Children during the next staff meeting. Health & Safety Training: Health & Safety (H&S) Training includes training in 9 topic areas plus Recognizing and Responding to Suspicions of Child Maltreatment and CPR/First Aid. New staff are required to complete H&S Training within one year of hire (CPR/First Aid and Recognizing and Responding to Suspicions of Child Maltreatment within 3 months of hire) and then complete training in all topic areas every five years. A staff member hired on 2/8/2023 did not complete Health & Safety Training by 2/8/2024. You stated that the staff member was out sick and would complete them before returning to work. A staff member hired 5/11/2020 completed Health and Safety training on 3/7/2018. You stated that you were unaware that the health and safety trainings needed to be updated every five years and the staff member will complete them. Free H&S Training developed specifically for North Carolina is available in Moodle on the DCDEE website. Other options may be used if they are approved by DCDEE. Complete Recognizing and Responding to Suspicions of Child Maltreatment at www.preventchildabusenc.org. (Any approved training related to Child Maltreatment can be used to meet this topic area for the five-year cycle.) A staff member hired on 2/8/23 and a staff member hired on 8/28/23 did not complete child maltreatment training. We discussed that due to your facility participating in the subsidy program, these health and safety trainings are required. Use the Health & Safety Training Log to document and track all H&S Training and attach certificate for each training topic area to log. These trainings can also be used to meet annual on-going training requirements. Use your staff worksheets and create a “tickler” to send a reminder to your phone or email several months before the health and safety trainings are due. You can also use it to track due dates for items that expire such as Criminal Background Checks, ITS/SIDS Training, Health & Safety Training, etc. Staff Records: The health and safety of children requires that information regarding each staff working with the children should be kept and available when needed. Staff records consist of various documentation to include emergency contact information. A Staff Medical Report and TB Screening/Test is due for new employees by their first day of work and not be older than 12 months to ensure they are physically, mentally, and emotionally well enough to care for children in a busy, rigorous environment. One staff member hired on 2/8/23 had a medical report and a medical report of TB skin test on file dated 11/2/2020. We discussed that when a staff member is no longer employed with the center, they need to complete new employee documentation if they are rehired to the center. It would be helpful to use the current Staff and Training Worksheet to help you verify that all required forms are on file. Placing each form in the same order as the worksheet makes it even quicker and easier to review files and update the worksheet. Storage of Hazardous Items: Intentional planning of the environment ensures a safe environment has been created which prevents and reduces injuries to young children. In space #4, Great Value disinfectant wipes and Coleman alcohol sanitizing wipes were stored on a shelf beside children’s cubbies. In space #1 and space #3, hand sanitizer was on a shelf below five feet. You corrected these violations during the visit. You stated that you have talked with your staff many times about hazardous storage, but it continues to occur. We discussed that it would be helpful for a staff member that opens the building to monitor classroom spaces before the children arrive to ensure that all hazards are stored properly. Additional Comments: Outdoor Environment: The program should select, for both indoor and outdoor play and learning, developmentally appropriate equipment, and materials, for safety, for its ability to provide large and small motor experiences, and for its adaptability to serve many different ideas, functions, and forms of creative expression. Today we discussed the portable equipment in the outdoor spaces including the climbing dome. The climbing dome is large for the outdoor space and does not leave ample space around the structure. We discussed that where it is located it is near a water spicket and moving it to the opposite side of the space would offer more room around it. We also discussed the best practices of outdoor safety and where to find it in the child care rules. Chapter 9: Child Care Rules have been updated as of 1/1/2024. These include changes that have been made in December 2023 and January 2024. These rules can be found on the Division’s website at https://ncchildcare.ncdhhs.gov/Services/Child-Care-Rules-Law-and-Public-Information. It would be helpful to download a copy of the rules to your desktop to access quickly and use the find feature to search for the subject. Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle Support. To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. 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, (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: LATITUDE KIDS CARE Facility ID: 25000584 Consultant: BRITTANY JONES Operation Type: Center Case Number: Visit Date: 2/8/2024 Number Present: 49 Completed Date: 2/8/2024 Age: From 0 To 5 Total Minutes: 240 Time In: 09:30 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. Jennifer Linhardt, Licensing Supervisor, accompanied me on today’s visit. L. Fletcher, Administrator, assisted me with the visit. Your program currently operates with a Notice of Compliance effective 5/8/2020. The last annual compliance visit was conducted 3/15/23. The sanitation inspection was completed 12/12/23 with a “Superior” classification. The last fire inspection was conducted 10/24/23 and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty four percent as of 2/2/24. The NC Secretary of State website was reviewed on 2/2/24 and this facility is not currently owned or operated by a corporation. Please contact me prior to and changes regarding the ownership of this facility. 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. All indoor and outdoor spaces were monitored. Children throughout the facility were participating in free play in activity areas, transitions, and personal care routines. Children under twelve months of age received care according to individual needs including bottle feeding. Toddlers were observed in the outdoor space pushing large trucks and kicking balls. The outdoor space was observed to have portable climbers, riding toys, and balls for the children to engage in gross motor activities. Lunch was observed and consisted of meatballs, corn, pears, and milk. The following violation(s) were documented. Violation Number Comment Rule 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. Lunch was observed and included meatballs, corn, pears, and milk. A grain component was not offered. 10A NCAC 09 .0901(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. A menu was not posted where it could easily be seen by parents. 10A NCAC 09 .0901(b) 807 A safe indoor and outdoor environment was not provided for the children. Landscaping paper was exposed throughout both outdoor spaces creating tripping hazards. In outdoor space #1, the containment barrier for mulch had a warped wooden board curved upwards 8 inches from the ground causing an entrapment hazard. 10A NCAC 09 .0601(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. In space #4, Great Value disinfectant wipes and Coleman alcohol sanitizing wipes were stored on a shelf beside children’s cubbies. In space #1 and space #3, hand sanitizer was on a shelf below five feet. .2820(b) 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 #5, a tube of Eucerin Eczema Relief Cream had written authorization that expired 1/13/24. In space #4, Children’s Motrin, Children’s Tylenol, and Camilia Liquid Doses had written authorization that expired 1/1/24. .0803(12) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff member hired on 2/8/23 had a medical report on file dated 11/2/2020. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One staff member hired on 2/8/23 had a medical report of TB skin test on file dated 11/2/2020. .0701(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 #5, a cup of iced coffee from Starbucks and a cup of iced coffee from Burger King were present. .0901(i) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. A staff member hired on 2/8/23 and a staff member hired on 8/28/23 did not complete child maltreatment training. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. A staff member hired on 2/8/2023 did not complete Health and Safety Training by 2/8/2024. .1102(a) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. A staff member hired 5/11/2020 completed Health and Safety training on 3/7/2018. .1103(b) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 2/22/24, 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: 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: Outdoor 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. Landscaping paper was exposed throughout both outdoor spaces creating a tripping hazard. In outdoor space #1, the containment barrier for mulch had a warped wooden board curved upwards 8 inches from the ground causing an entrapment hazard. We discussed that keeping the mulch raked will prevent the landscaping paper from being exposed. You stated that heavy rainfall causes flooding of the outdoor space and could have caused the wood to warp. Replace the wood or fix so that it is level with the ground. It would be helpful to use the playground inspection forms when monitoring the outdoor spaces. Medication Permission Forms: All medications for children present at the center must have a current, completed medication permission form even if there is a Medical Action Plan. The medication permission forms provide additional information that could be critical to the administration of the medication and the care of the child. Medication permission forms are valid for a defined length of time and must be updated, if needed. In space #5, a tube of Eucerin Eczema Relief Cream had written authorization that expired 1/13/24. In space #4, Children’s Motrin, Children’s Tylenol, and Camilia Liquid Doses had written authorization that expired 1/1/24. We discussed that over-the-counter medication authorizations are valid for 30 days. We discussed that before 30 days pass, have a conversation with the parent to determine if the medication needs a new authorization or can be sent home. It would be helpful to set a reminder on the tablet in the classroom and to add checking medications every month. You stated that the teachers have a monthly checklist that includes checking medication forms. We discussed that it would beneficial to assign a staff member to accept medication and check the medication forms before they are placed in the classroom. You stated that you had someone in mind to oversee medication. Use the Medication Flyer I shared with you when accepting medication to ensure that medication forms are completed correctly. Nutrition: Nourishing and attractive food is the cornerstone for children’s health, growth, and development as well as developmentally appropriate learning experiences. Nutrition and feeding are essential and required in every facility. Meals and snacks served to children in a child care center shall comply with the Meal Patterns for Children in Child Care Programs from the United States Department of Agriculture (USDA) which are based on the recommended nutrient intake judged by the National Research Council to be adequate for maintaining good nutrition. Lunch was observed and included meatballs, corn, pears, and milk. A grain component was not offered. We discussed the Meal Patterns for Children and the components that are needed for each meal and the meals that are currently on your menu. You stated that you were going to place the Meal Patterns in each classroom. We also discussed that using the menu template that has the components and serving sizes documented will ensure that all components are being served. Parents/guardians need to be informed about food served in the facility to know how to complement it with the food they serve at home. A menu was not posted. We discussed that a menu needs to be posted even though it is shared to parents via the Brightwheel app. 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 #5, a cup of iced coffee from Starbucks and a cup of iced coffee from Burger King were present. We discussed that staff members should only have beverages in the classroom that children can drink as caregivers are their role models. It would be beneficial to discuss the Meal Patterns for Children during the next staff meeting. Health & Safety Training: Health & Safety (H&S) Training includes training in 9 topic areas plus Recognizing and Responding to Suspicions of Child Maltreatment and CPR/First Aid. New staff are required to complete H&S Training within one year of hire (CPR/First Aid and Recognizing and Responding to Suspicions of Child Maltreatment within 3 months of hire) and then complete training in all topic areas every five years. A staff member hired on 2/8/2023 did not complete Health & Safety Training by 2/8/2024. You stated that the staff member was out sick and would complete them before returning to work. A staff member hired 5/11/2020 completed Health and Safety training on 3/7/2018. You stated that you were unaware that the health and safety trainings needed to be updated every five years and the staff member will complete them. Free H&S Training developed specifically for North Carolina is available in Moodle on the DCDEE website. Other options may be used if they are approved by DCDEE. Complete Recognizing and Responding to Suspicions of Child Maltreatment at www.preventchildabusenc.org. (Any approved training related to Child Maltreatment can be used to meet this topic area for the five-year cycle.) A staff member hired on 2/8/23 and a staff member hired on 8/28/23 did not complete child maltreatment training. We discussed that due to your facility participating in the subsidy program, these health and safety trainings are required. Use the Health & Safety Training Log to document and track all H&S Training and attach certificate for each training topic area to log. These trainings can also be used to meet annual on-going training requirements. Use your staff worksheets and create a “tickler” to send a reminder to your phone or email several months before the health and safety trainings are due. You can also use it to track due dates for items that expire such as Criminal Background Checks, ITS/SIDS Training, Health & Safety Training, etc. Staff Records: The health and safety of children requires that information regarding each staff working with the children should be kept and available when needed. Staff records consist of various documentation to include emergency contact information. A Staff Medical Report and TB Screening/Test is due for new employees by their first day of work and not be older than 12 months to ensure they are physically, mentally, and emotionally well enough to care for children in a busy, rigorous environment. One staff member hired on 2/8/23 had a medical report and a medical report of TB skin test on file dated 11/2/2020. We discussed that when a staff member is no longer employed with the center, they need to complete new employee documentation if they are rehired to the center. It would be helpful to use the current Staff and Training Worksheet to help you verify that all required forms are on file. Placing each form in the same order as the worksheet makes it even quicker and easier to review files and update the worksheet. Storage of Hazardous Items: Intentional planning of the environment ensures a safe environment has been created which prevents and reduces injuries to young children. In space #4, Great Value disinfectant wipes and Coleman alcohol sanitizing wipes were stored on a shelf beside children’s cubbies. In space #1 and space #3, hand sanitizer was on a shelf below five feet. You corrected these violations during the visit. You stated that you have talked with your staff many times about hazardous storage, but it continues to occur. We discussed that it would be helpful for a staff member that opens the building to monitor classroom spaces before the children arrive to ensure that all hazards are stored properly. Additional Comments: Outdoor Environment: The program should select, for both indoor and outdoor play and learning, developmentally appropriate equipment, and materials, for safety, for its ability to provide large and small motor experiences, and for its adaptability to serve many different ideas, functions, and forms of creative expression. Today we discussed the portable equipment in the outdoor spaces including the climbing dome. The climbing dome is large for the outdoor space and does not leave ample space around the structure. We discussed that where it is located it is near a water spicket and moving it to the opposite side of the space would offer more room around it. We also discussed the best practices of outdoor safety and where to find it in the child care rules. Chapter 9: Child Care Rules have been updated as of 1/1/2024. These include changes that have been made in December 2023 and January 2024. These rules can be found on the Division’s website at https://ncchildcare.ncdhhs.gov/Services/Child-Care-Rules-Law-and-Public-Information. It would be helpful to download a copy of the rules to your desktop to access quickly and use the find feature to search for the subject. Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle Support. To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. 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, (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 .0901 · Violation

Name of Operation: LATITUDE KIDS CARE Facility ID: 25000584 Consultant: BRITTANY JONES Operation Type: Center Case Number: Visit Date: 10/16/2023 Number Present: 48 Completed Date: 10/16/2023 Age: From 0 To 5 Total Minutes: 155 Time In: 01:55 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to verify correction of violations documented during my October 4, 2023, Routine Unannounced visit. Children throughout the center were waking up from nap time. Personal care routines occurred before children sat at the table for snack time. Snack was observed and included fruit snacks and water. The following violations documented during the 10/4/23 visit were monitored for compliance during this visit: 106- Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. This is a violation of a requirement in 10A NCAC 09 .0304(a). You stated that you have a fire inspection scheduled to occur by 10/31/23. 805- Fire drills were not practiced monthly and/or the drill record was incomplete. This is a violation of a requirement in .0604(t); .0302(d)(5). Today, you stated that you have fire drills scheduled for each month for the rest of the year and showed me them documented in your planner. This violation has been corrected. 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. This is a violation of a requirement in .0803(12). Today, leftover medication was not available to review and you stated that it was sent home with parents on 10/4/23. This violation has been corrected. The following violations was not corrected and documented as repeated violations from the 10/4/23 visit: 303- Children were not adequately supervised at all times. This is a violation of a requirement in .1801(a)(1-5). A teacher in space #4 left the classroom space to place cots on a cart in the hallway leaving one staff member with twelve (12) children one year of age. As stated in the 10/4/23 visit summary, all violations must be corrected immediately and a compliance letter verifying this must be received by the established due date. At the time of today’s visit, a compliance letter had not been received. Today, I verified correction of two of the four violations. Due to a violation regarding inadequate supervision documented on two consecutive visits, an administrative action may be recommended, and you will be notified in writing of any action taken. In addition, a follow-up visit will be conducted. The following violation(s) were documented. Violation Number Comment Rule 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. Snack was observed and included fruit snacks and water. 10A NCAC 09 .0901(a) 1756 Enhanced staff/child ratios and group sizes were not met. A staff member in space #4 left the classroom space to place cots on a cart in the hallway, leaving one staff member in the classroom space with twelve (12) children one year of age. 10A NCAC 09 .2818 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 10/30/23, 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: Supervision: Adequate supervision requires staff members never leave children unattended, not even for a minute, unless in the case of a true emergency. Staff members must be positioned to see and hear children, render immediate assistance and provide for their needs, especially infants and toddlers who depend solely on caregivers. During the visit, a teacher in space #4 walked out of the classroom space to put cots on a cart in the hallway leaving one teacher responsible for twelve (12) children one year of age. You stated that there is normally three staff in the classroom with the one year olds, but that staff member was assisting with bathroom breaks in space #5. We discussed that the bathroom assistance was managed, but it created a different supervision issue when teachers in space #4 did not wait for the additional teacher to come back and assist with putting the cots away. It is imperative that all staff members understand supervision so that they are able to maintain supervision at all times. We also discussed the importance of teachers being in close proximity to young toddlers during meal time. You stated that you will be talking with each staff member individually and will be sure to explain supervision. Develop a system in your center for after nap time that will allow for bathroom assistance, putting away nap materials, or when a staff member needs to leave the classroom. Nutrition: Nourishing and attractive food is the cornerstone for children’s health, growth, and development as well as developmentally appropriate learning experiences. Nutrition and feeding are essential and required in every facility. Meals and snacks served to children in a child care center shall comply with the Meal Patterns for Children in Child Care Programs from the United States Department of Agriculture (USDA) which are based on the recommended nutrient intake judged by the National Research Council to be adequate for maintaining good nutrition. Snack consists of two of the five components: grains, fruits, veggies, protein, and dairy. Snack was observed and included fruit snacks and water. We discussed that snack consists of two components and reviewed the meal pattern requirements from the USDA website. You printed the meal patterns for breakfast, lunch, and snack to post in the kitchen for easy review when planning and serving meals. Review the menu each day and ensure that you have the items that are listed before the children arrive at the facility. 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, (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 .0304 · Violation

Name of Operation: LATITUDE KIDS CARE Facility ID: 25000584 Consultant: BRITTANY JONES Operation Type: Center Case Number: Visit Date: 10/16/2023 Number Present: 48 Completed Date: 10/16/2023 Age: From 0 To 5 Total Minutes: 155 Time In: 01:55 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to verify correction of violations documented during my October 4, 2023, Routine Unannounced visit. Children throughout the center were waking up from nap time. Personal care routines occurred before children sat at the table for snack time. Snack was observed and included fruit snacks and water. The following violations documented during the 10/4/23 visit were monitored for compliance during this visit: 106- Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. This is a violation of a requirement in 10A NCAC 09 .0304(a). You stated that you have a fire inspection scheduled to occur by 10/31/23. 805- Fire drills were not practiced monthly and/or the drill record was incomplete. This is a violation of a requirement in .0604(t); .0302(d)(5). Today, you stated that you have fire drills scheduled for each month for the rest of the year and showed me them documented in your planner. This violation has been corrected. 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. This is a violation of a requirement in .0803(12). Today, leftover medication was not available to review and you stated that it was sent home with parents on 10/4/23. This violation has been corrected. The following violations was not corrected and documented as repeated violations from the 10/4/23 visit: 303- Children were not adequately supervised at all times. This is a violation of a requirement in .1801(a)(1-5). A teacher in space #4 left the classroom space to place cots on a cart in the hallway leaving one staff member with twelve (12) children one year of age. As stated in the 10/4/23 visit summary, all violations must be corrected immediately and a compliance letter verifying this must be received by the established due date. At the time of today’s visit, a compliance letter had not been received. Today, I verified correction of two of the four violations. Due to a violation regarding inadequate supervision documented on two consecutive visits, an administrative action may be recommended, and you will be notified in writing of any action taken. In addition, a follow-up visit will be conducted. The following violation(s) were documented. Violation Number Comment Rule 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. Snack was observed and included fruit snacks and water. 10A NCAC 09 .0901(a) 1756 Enhanced staff/child ratios and group sizes were not met. A staff member in space #4 left the classroom space to place cots on a cart in the hallway, leaving one staff member in the classroom space with twelve (12) children one year of age. 10A NCAC 09 .2818 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 10/30/23, 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: Supervision: Adequate supervision requires staff members never leave children unattended, not even for a minute, unless in the case of a true emergency. Staff members must be positioned to see and hear children, render immediate assistance and provide for their needs, especially infants and toddlers who depend solely on caregivers. During the visit, a teacher in space #4 walked out of the classroom space to put cots on a cart in the hallway leaving one teacher responsible for twelve (12) children one year of age. You stated that there is normally three staff in the classroom with the one year olds, but that staff member was assisting with bathroom breaks in space #5. We discussed that the bathroom assistance was managed, but it created a different supervision issue when teachers in space #4 did not wait for the additional teacher to come back and assist with putting the cots away. It is imperative that all staff members understand supervision so that they are able to maintain supervision at all times. We also discussed the importance of teachers being in close proximity to young toddlers during meal time. You stated that you will be talking with each staff member individually and will be sure to explain supervision. Develop a system in your center for after nap time that will allow for bathroom assistance, putting away nap materials, or when a staff member needs to leave the classroom. Nutrition: Nourishing and attractive food is the cornerstone for children’s health, growth, and development as well as developmentally appropriate learning experiences. Nutrition and feeding are essential and required in every facility. Meals and snacks served to children in a child care center shall comply with the Meal Patterns for Children in Child Care Programs from the United States Department of Agriculture (USDA) which are based on the recommended nutrient intake judged by the National Research Council to be adequate for maintaining good nutrition. Snack consists of two of the five components: grains, fruits, veggies, protein, and dairy. Snack was observed and included fruit snacks and water. We discussed that snack consists of two components and reviewed the meal pattern requirements from the USDA website. You printed the meal patterns for breakfast, lunch, and snack to post in the kitchen for easy review when planning and serving meals. Review the menu each day and ensure that you have the items that are listed before the children arrive at the facility. 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, (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 .2818 · Violation

Name of Operation: LATITUDE KIDS CARE Facility ID: 25000584 Consultant: BRITTANY JONES Operation Type: Center Case Number: Visit Date: 10/16/2023 Number Present: 48 Completed Date: 10/16/2023 Age: From 0 To 5 Total Minutes: 155 Time In: 01:55 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to verify correction of violations documented during my October 4, 2023, Routine Unannounced visit. Children throughout the center were waking up from nap time. Personal care routines occurred before children sat at the table for snack time. Snack was observed and included fruit snacks and water. The following violations documented during the 10/4/23 visit were monitored for compliance during this visit: 106- Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. This is a violation of a requirement in 10A NCAC 09 .0304(a). You stated that you have a fire inspection scheduled to occur by 10/31/23. 805- Fire drills were not practiced monthly and/or the drill record was incomplete. This is a violation of a requirement in .0604(t); .0302(d)(5). Today, you stated that you have fire drills scheduled for each month for the rest of the year and showed me them documented in your planner. This violation has been corrected. 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. This is a violation of a requirement in .0803(12). Today, leftover medication was not available to review and you stated that it was sent home with parents on 10/4/23. This violation has been corrected. The following violations was not corrected and documented as repeated violations from the 10/4/23 visit: 303- Children were not adequately supervised at all times. This is a violation of a requirement in .1801(a)(1-5). A teacher in space #4 left the classroom space to place cots on a cart in the hallway leaving one staff member with twelve (12) children one year of age. As stated in the 10/4/23 visit summary, all violations must be corrected immediately and a compliance letter verifying this must be received by the established due date. At the time of today’s visit, a compliance letter had not been received. Today, I verified correction of two of the four violations. Due to a violation regarding inadequate supervision documented on two consecutive visits, an administrative action may be recommended, and you will be notified in writing of any action taken. In addition, a follow-up visit will be conducted. The following violation(s) were documented. Violation Number Comment Rule 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. Snack was observed and included fruit snacks and water. 10A NCAC 09 .0901(a) 1756 Enhanced staff/child ratios and group sizes were not met. A staff member in space #4 left the classroom space to place cots on a cart in the hallway, leaving one staff member in the classroom space with twelve (12) children one year of age. 10A NCAC 09 .2818 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 10/30/23, 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: Supervision: Adequate supervision requires staff members never leave children unattended, not even for a minute, unless in the case of a true emergency. Staff members must be positioned to see and hear children, render immediate assistance and provide for their needs, especially infants and toddlers who depend solely on caregivers. During the visit, a teacher in space #4 walked out of the classroom space to put cots on a cart in the hallway leaving one teacher responsible for twelve (12) children one year of age. You stated that there is normally three staff in the classroom with the one year olds, but that staff member was assisting with bathroom breaks in space #5. We discussed that the bathroom assistance was managed, but it created a different supervision issue when teachers in space #4 did not wait for the additional teacher to come back and assist with putting the cots away. It is imperative that all staff members understand supervision so that they are able to maintain supervision at all times. We also discussed the importance of teachers being in close proximity to young toddlers during meal time. You stated that you will be talking with each staff member individually and will be sure to explain supervision. Develop a system in your center for after nap time that will allow for bathroom assistance, putting away nap materials, or when a staff member needs to leave the classroom. Nutrition: Nourishing and attractive food is the cornerstone for children’s health, growth, and development as well as developmentally appropriate learning experiences. Nutrition and feeding are essential and required in every facility. Meals and snacks served to children in a child care center shall comply with the Meal Patterns for Children in Child Care Programs from the United States Department of Agriculture (USDA) which are based on the recommended nutrient intake judged by the National Research Council to be adequate for maintaining good nutrition. Snack consists of two of the five components: grains, fruits, veggies, protein, and dairy. Snack was observed and included fruit snacks and water. We discussed that snack consists of two components and reviewed the meal pattern requirements from the USDA website. You printed the meal patterns for breakfast, lunch, and snack to post in the kitchen for easy review when planning and serving meals. Review the menu each day and ensure that you have the items that are listed before the children arrive at the facility. 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, (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: LATITUDE KIDS CARE Facility ID: 25000584 Consultant: BRITTANY JONES Operation Type: Center Case Number: Visit Date: 10/16/2023 Number Present: 48 Completed Date: 10/16/2023 Age: From 0 To 5 Total Minutes: 155 Time In: 01:55 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to verify correction of violations documented during my October 4, 2023, Routine Unannounced visit. Children throughout the center were waking up from nap time. Personal care routines occurred before children sat at the table for snack time. Snack was observed and included fruit snacks and water. The following violations documented during the 10/4/23 visit were monitored for compliance during this visit: 106- Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. This is a violation of a requirement in 10A NCAC 09 .0304(a). You stated that you have a fire inspection scheduled to occur by 10/31/23. 805- Fire drills were not practiced monthly and/or the drill record was incomplete. This is a violation of a requirement in .0604(t); .0302(d)(5). Today, you stated that you have fire drills scheduled for each month for the rest of the year and showed me them documented in your planner. This violation has been corrected. 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. This is a violation of a requirement in .0803(12). Today, leftover medication was not available to review and you stated that it was sent home with parents on 10/4/23. This violation has been corrected. The following violations was not corrected and documented as repeated violations from the 10/4/23 visit: 303- Children were not adequately supervised at all times. This is a violation of a requirement in .1801(a)(1-5). A teacher in space #4 left the classroom space to place cots on a cart in the hallway leaving one staff member with twelve (12) children one year of age. As stated in the 10/4/23 visit summary, all violations must be corrected immediately and a compliance letter verifying this must be received by the established due date. At the time of today’s visit, a compliance letter had not been received. Today, I verified correction of two of the four violations. Due to a violation regarding inadequate supervision documented on two consecutive visits, an administrative action may be recommended, and you will be notified in writing of any action taken. In addition, a follow-up visit will be conducted. The following violation(s) were documented. Violation Number Comment Rule 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. Snack was observed and included fruit snacks and water. 10A NCAC 09 .0901(a) 1756 Enhanced staff/child ratios and group sizes were not met. A staff member in space #4 left the classroom space to place cots on a cart in the hallway, leaving one staff member in the classroom space with twelve (12) children one year of age. 10A NCAC 09 .2818 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 10/30/23, 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: Supervision: Adequate supervision requires staff members never leave children unattended, not even for a minute, unless in the case of a true emergency. Staff members must be positioned to see and hear children, render immediate assistance and provide for their needs, especially infants and toddlers who depend solely on caregivers. During the visit, a teacher in space #4 walked out of the classroom space to put cots on a cart in the hallway leaving one teacher responsible for twelve (12) children one year of age. You stated that there is normally three staff in the classroom with the one year olds, but that staff member was assisting with bathroom breaks in space #5. We discussed that the bathroom assistance was managed, but it created a different supervision issue when teachers in space #4 did not wait for the additional teacher to come back and assist with putting the cots away. It is imperative that all staff members understand supervision so that they are able to maintain supervision at all times. We also discussed the importance of teachers being in close proximity to young toddlers during meal time. You stated that you will be talking with each staff member individually and will be sure to explain supervision. Develop a system in your center for after nap time that will allow for bathroom assistance, putting away nap materials, or when a staff member needs to leave the classroom. Nutrition: Nourishing and attractive food is the cornerstone for children’s health, growth, and development as well as developmentally appropriate learning experiences. Nutrition and feeding are essential and required in every facility. Meals and snacks served to children in a child care center shall comply with the Meal Patterns for Children in Child Care Programs from the United States Department of Agriculture (USDA) which are based on the recommended nutrient intake judged by the National Research Council to be adequate for maintaining good nutrition. Snack consists of two of the five components: grains, fruits, veggies, protein, and dairy. Snack was observed and included fruit snacks and water. We discussed that snack consists of two components and reviewed the meal pattern requirements from the USDA website. You printed the meal patterns for breakfast, lunch, and snack to post in the kitchen for easy review when planning and serving meals. Review the menu each day and ensure that you have the items that are listed before the children arrive at the facility. 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, (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 .0304 · Violation

Name of Operation: LATITUDE KIDS CARE Facility ID: 25000584 Consultant: BRITTANY JONES Operation Type: Center Case Number: Visit Date: 10/4/2023 Number Present: 46 Completed Date: 10/4/2023 Age: From 0 To 4 Total Minutes: 180 Time In: 11:00 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. L. Fletcher, Administrator, assisted me with today’s visit. Your program currently operates with a Notice of Compliance effective 5/8/2020. The last annual compliance visit was conducted 3/15/23. The sanitation inspection was completed on 6/21/23 with a “Superior” classification. The last fire inspection was conducted 9/1/22. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety one percent as of 10/3/2023. The NC Secretary of State website was reviewed on 10/3/2023 and this facility is not currently owned or operated by a corporation. Please contact me prior to and changes regarding the ownership of this facility. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. Children throughout the facility were participating in group time, free play in activity areas, transitions, and personal care routines. Infants were engaged in tummy time, napping, and diapering routines. Lunch was observed and included hot dogs, macaroni and cheese, peaches, and milk. The outdoor space was observed to have stationary climbers, riding toys, and balls for the children to engage in gross motor activities. The following violation(s) were documented. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The fire inspection report on file was dated 9/1/2022. 10A NCAC 09 .0304(a) 303 Children were not adequately supervised at all times. A child in space #5 left the classroom to go to the bathroom located in the hallway adjacent to the classroom unattended. The full door to the bathroom was closed so the child was not able to be seen or heard. .1801(a)(1-5) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill for the month of September 2023 was not documented. .0604(t); .0302(d)(5) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #5 a container of Lysol wipes and a can of Lysol Disinfectant spray was located on a shelf with the soapy water and sanitizing solution. In space # 3, a container of Lysol wipes was located on the shelf above the children’s cubbies. .2820(b) 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 #2, written permission for Coppertone Water Babies expired 4/25/23 and written permission for Coppertone Kids expired 5/25/23. .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. The violation(s) documented must be corrected immediately. On or before 10/18/23, 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 violations: Supervision: Adequate supervision of children is essential to keep children safe from accidents and injuries. Staff must remain with the children assigned to them at all times. Leaving a child or a group of children alone is unacceptable. Younger children need closer supervision to remain safe. Active supervision requires focused attention and intentional observation of children at all times. Caregivers/teachers position themselves so that they can observe all of the children: watching, counting, and listening at all times. Supervision is directly tied to safety and the prevention of injury and maintaining quality child care for infants, toddlers, preschoolers, and school-aged children. A child in space #5 left the classroom to go to the bathroom located in the hallway adjacent to the classroom unattended. The full door to the bathroom was closed so the child was not able to be seen or heard. We discussed when children need to use the restroom, the entire class must accompany the teacher in the hallway, or another teacher needs to be called to come stand in the classroom or accompany the child. You stated that classrooms do have walkie talkies that can be used to call for assistance when you are not in the office and available to assist. Create a system that can be used for when bathroom assistance is needed, someone is available to assist. Fire Drills/Fire Inspection: Intentional planning of monthly fire drills ensures that emergency preparedness drills are being conducted in case of an emergency. A fire drill for the month of September 2023 was not documented. You stated that a fire drill was conducted, but due to a family emergency the attendance roster did not get printed and the drill log was not documented. Consider marking your calendar as a reminder of when drills are due. Fire inspections should be completed annually and within 12 months of the previous inspection. The fire inspection report on file was dated 9/1/2022. You stated that a fire inspection most likely occurred for the entire church, but it was not documented for the child care facility. During the visit you reached out to the fire inspector to have a fire inspection completed. We discussed setting a reminder in your calendar to request a fire inspection in advance so that they can schedule an inspection before 12 months has passed. 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 medication must have written permission from a parent. Over the counter topical cream permission is valid for a year. In space #2, written permission for Coppertone Water Babies expired 4/25/23 and written permission for Coppertone Kids expired 5/25/23. We discussed that it would be helpful to check medications every month and to send home medication as soon as they are not being used. Add checking medication dates to your monthly checklist. Storage of Hazardous Items: Intentional planning of the environment ensures a safe environment has been created which prevents and reduces injuries to young children. In space #5 a container of Lysol wipes and a can of Lysol Disinfectant spray was located on a shelf with the soapy water and sanitizing solution. In space # 3, a container of Lysol wipes was located on the shelf above the children’s cubbies. These items were placed in locked storage when brought to your attention and corrected the violation. Check the learning environment each morning before the children arrive to ensure that hazardous materials are locked or out of reach of children. Additional Comments: Child Care Immunization Report 2023-2024: This year's Child Care Immunization Reports are due by midnight on Wednesday, November 1, 2023, and will not be accepted after that date. Failure to submit an annual child care immunization report per G.S. 130A-155 will be reported to the Local Health Director for your county. Submit a report even if no children are attending your child care center or your child care center has closed. This will ensure your center meets the reporting requirement and is not considered delinquent. Download instructions and a worksheet to assist in determining the status of each child (Word document). Access the worksheet as a PDF. This worksheet is only an aid and does not need to be submitted. The summary table on the fourth page contains the information required to complete the online report. Access a guide to submitting a child care report through the online portal. If you have questions about the Child Care Immunization Report, please email Immunization.Reports@dhhs.nc.gov or call 919-707-5595. 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: LATITUDE KIDS CARE Facility ID: 25000584 Consultant: BRITTANY JONES Operation Type: Center Case Number: Visit Date: 10/4/2023 Number Present: 46 Completed Date: 10/4/2023 Age: From 0 To 4 Total Minutes: 180 Time In: 11:00 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. L. Fletcher, Administrator, assisted me with today’s visit. Your program currently operates with a Notice of Compliance effective 5/8/2020. The last annual compliance visit was conducted 3/15/23. The sanitation inspection was completed on 6/21/23 with a “Superior” classification. The last fire inspection was conducted 9/1/22. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety one percent as of 10/3/2023. The NC Secretary of State website was reviewed on 10/3/2023 and this facility is not currently owned or operated by a corporation. Please contact me prior to and changes regarding the ownership of this facility. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. Children throughout the facility were participating in group time, free play in activity areas, transitions, and personal care routines. Infants were engaged in tummy time, napping, and diapering routines. Lunch was observed and included hot dogs, macaroni and cheese, peaches, and milk. The outdoor space was observed to have stationary climbers, riding toys, and balls for the children to engage in gross motor activities. The following violation(s) were documented. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The fire inspection report on file was dated 9/1/2022. 10A NCAC 09 .0304(a) 303 Children were not adequately supervised at all times. A child in space #5 left the classroom to go to the bathroom located in the hallway adjacent to the classroom unattended. The full door to the bathroom was closed so the child was not able to be seen or heard. .1801(a)(1-5) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill for the month of September 2023 was not documented. .0604(t); .0302(d)(5) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #5 a container of Lysol wipes and a can of Lysol Disinfectant spray was located on a shelf with the soapy water and sanitizing solution. In space # 3, a container of Lysol wipes was located on the shelf above the children’s cubbies. .2820(b) 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 #2, written permission for Coppertone Water Babies expired 4/25/23 and written permission for Coppertone Kids expired 5/25/23. .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. The violation(s) documented must be corrected immediately. On or before 10/18/23, 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 violations: Supervision: Adequate supervision of children is essential to keep children safe from accidents and injuries. Staff must remain with the children assigned to them at all times. Leaving a child or a group of children alone is unacceptable. Younger children need closer supervision to remain safe. Active supervision requires focused attention and intentional observation of children at all times. Caregivers/teachers position themselves so that they can observe all of the children: watching, counting, and listening at all times. Supervision is directly tied to safety and the prevention of injury and maintaining quality child care for infants, toddlers, preschoolers, and school-aged children. A child in space #5 left the classroom to go to the bathroom located in the hallway adjacent to the classroom unattended. The full door to the bathroom was closed so the child was not able to be seen or heard. We discussed when children need to use the restroom, the entire class must accompany the teacher in the hallway, or another teacher needs to be called to come stand in the classroom or accompany the child. You stated that classrooms do have walkie talkies that can be used to call for assistance when you are not in the office and available to assist. Create a system that can be used for when bathroom assistance is needed, someone is available to assist. Fire Drills/Fire Inspection: Intentional planning of monthly fire drills ensures that emergency preparedness drills are being conducted in case of an emergency. A fire drill for the month of September 2023 was not documented. You stated that a fire drill was conducted, but due to a family emergency the attendance roster did not get printed and the drill log was not documented. Consider marking your calendar as a reminder of when drills are due. Fire inspections should be completed annually and within 12 months of the previous inspection. The fire inspection report on file was dated 9/1/2022. You stated that a fire inspection most likely occurred for the entire church, but it was not documented for the child care facility. During the visit you reached out to the fire inspector to have a fire inspection completed. We discussed setting a reminder in your calendar to request a fire inspection in advance so that they can schedule an inspection before 12 months has passed. 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 medication must have written permission from a parent. Over the counter topical cream permission is valid for a year. In space #2, written permission for Coppertone Water Babies expired 4/25/23 and written permission for Coppertone Kids expired 5/25/23. We discussed that it would be helpful to check medications every month and to send home medication as soon as they are not being used. Add checking medication dates to your monthly checklist. Storage of Hazardous Items: Intentional planning of the environment ensures a safe environment has been created which prevents and reduces injuries to young children. In space #5 a container of Lysol wipes and a can of Lysol Disinfectant spray was located on a shelf with the soapy water and sanitizing solution. In space # 3, a container of Lysol wipes was located on the shelf above the children’s cubbies. These items were placed in locked storage when brought to your attention and corrected the violation. Check the learning environment each morning before the children arrive to ensure that hazardous materials are locked or out of reach of children. Additional Comments: Child Care Immunization Report 2023-2024: This year's Child Care Immunization Reports are due by midnight on Wednesday, November 1, 2023, and will not be accepted after that date. Failure to submit an annual child care immunization report per G.S. 130A-155 will be reported to the Local Health Director for your county. Submit a report even if no children are attending your child care center or your child care center has closed. This will ensure your center meets the reporting requirement and is not considered delinquent. Download instructions and a worksheet to assist in determining the status of each child (Word document). Access the worksheet as a PDF. This worksheet is only an aid and does not need to be submitted. The summary table on the fourth page contains the information required to complete the online report. Access a guide to submitting a child care report through the online portal. If you have questions about the Child Care Immunization Report, please email Immunization.Reports@dhhs.nc.gov or call 919-707-5595. 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