Abernethy Memorial Child Development Center

G.S. 110-90 · Violation

Name of Operation: ABERNETHY MEMORIAL CHILD DEVELOPMENT CENTER Facility ID: 1855074 Consultant: MERIA WILDER Operation Type: Center Case Number: Visit Date: 4/9/2026 Number Present: 77 Completed Date: 4/9/2026 Age: From 0 To 9 Total Minutes: 305 Time In: 10:15 AM Time Out: 03:20 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 during a routine unannounced visit. You, Georgianna, Administrator, assisted me with today’s visit. Your last annual compliance visit was conducted on October 15, 2025. Prior to today’s visit your compliance history score was 86%. I reviewed with you today the facility information found in our system. You stated there have been no changes to your phone number, email address, mailing address, or corporate contact for the facility. I reviewed the facility’s permit with you today. Required postings were posted as required at the entrance to the facility. Your facility operates with the following permit restrictions: daytime care only and meets enhanced ratios. Your program currently operates with a five-star license, issued on October 2, 2024, earning seven (7) points in staff education, five (5) points in program standards and one (1) quality point for having a staff benefits package and an infrastructure of parent involvement. Your most recent fire inspection was completed on April 8, 2026, and was sent to me on April 8, 2026. Your most recent sanitation inspection was completed on December 4, 2025, with a superior classification. A walkthrough of your indoor and outdoor spaces was conducted, and I observed children to be participating in free play in activity areas, transitions, supper and personal care routines. Teacher interactions with children were positive and nurturing. Daily sign in/out sheets and attendance was current/accurate. Supervision, staff-child ratios, adequate/approved space, storage of medication, medication administration, storage of hazardous substances, and permit restrictions were monitored. Today I monitored thirty-two (32) medications, thirty-two (32) medication permission to administer forms and one (1) Medical Action Plan. A current menu was posted, documented appropriate nutritious snacks and meals, showed a variety of foods, and complied with Meal Patterns for Children in Child Care Programs. Today your incident report log and outdoor safety inspections were monitored and documented as required. I received your current 2025 – 2026 staff/parent handbooks during the annual compliance visit that was conducted on October 15, 2025, and it included: written operational, administrative, personnel policies and your parent participation plan in. You stated your written policies and procedures had not changed. Your most recent fire drill was conducted on March 30, 2026, and your most recent lockdown emergency drill was conducted on January 23, 2026, and has been completed quarterly. I monitored your center’s Emergency Preparedness and Response (EPR) plan that was dated August 19, 2025, during today’s visit. You stated that your program does not provide transportation at this time and does not provide screen time. Staff records for two (2) new staff members and nineteen (19) returning staff members were monitored today to verify current Criminal Background Check qualification letters, CPR, First Aid, Recognizing and Responding to Suspicions of Child Maltreatment, ABCMS roster created, special trainings and Health and Safety training. During today’s visit I monitored your program for all health and safety requirements. The following violation was cited during today’s visit. Violation Number Comment Rule 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). A staff member with a hire date of 5/16/12, did not complete an updated criminal background check prior to the expiration date of the CBC letter that expired on 2/1/26. G.S. 110-90.2(b) & .2703(n)&(o) 1870 The prevention of Shaken Baby Syndrome and Abusive Head Trauma policy did not have the required information. A staff member with a hire date of 7/24/17, did not list the date that The Prevention of the Shaken Baby Syndrome and Abusive Head Trauma policy acknowledgement statement was given and received. .0608(a)(1-6) TECHNICAL ASSISTANCE: • A staff member with a hire date of 5/16/12, did not complete an updated criminal background check prior to the expiration date of the CBC letter that expired on 2/1/26. I suggest that all staff files for this facility be monitored quarterly to ensure that all staff members have completed CBC within the specified timeframe to prevent violations of child care requirements. This violation was corrected during the visit by the staff member receiving a current CBC letter dated 3/20/26. • A staff member with a hire date of 7/24/17, did not list the date that The Prevention of the Shaken Baby Syndrome and Abusive Head Trauma policy acknowledgement statement was given and received. As discussed, The Prevention of the Shaken Baby Syndrome and Abusive Head Trauma policy acknowledgement statement signed and dated by the staff should include the individual’s name, the date the center’s policy was given and explained to the individual, the individual’s signature, and the date the individual signed the acknowledgment. To maintain compliance with this child care requirement, I suggest that you double-check each staff acknowledgement statement during the orientation training process to be sure the statements are signed and dated and completed as required prior to placing the document in the staff record file. This violation was corrected during the visit by the staff member updating the form during today’s visit. CONSULTATION: • During today’s visit I provided you with information to prepare you for the rated license process. Due to your facility completing the rated license assessment in October of 2024, your facility will be due to complete the rated license process by October of 2027. You stated that you plan to begin the process by January 2027. • DCDEE Resources - Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. - Child Care Rules and Laws: https://ncchildcare.ncdhhs.gov/Services/Licensing/Getting-a-License - Training and Professional Development: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development - Required Health and Safety Training: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings - Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-Child-Care/Care-for-Children-Receiving-Subsidy - DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New • Visit NC Child Care Health and Safety Resource Center at http://healthychildcare.unc.edu to find the following resources: technical assistance, coaching support, resources, handwashing and diapering posters, monthly newsletters, and a list of approved in-service trainings including, but not limited to, ITS-SIDS training and Emergency Preparedness and Response in Child Care training. • Please continue to visit DCDEE’s website at https://ncchildcare.ncdhhs.gov/ to get the latest information for child care settings and child care updates including the most up to date documents and forms. • Visit NC Child Care Health and Safety Resource Center at http://healthychildcare.unc.edu to find the following resources: technical assistance, coaching support, resources, handwashing and diapering posters, monthly newsletters, and a list of approved in-service trainings including, but not limited to, ITS-SIDS training and Emergency Preparedness and Response in Child Care training. • WORKS STATUS LETTER: Child Care Rule .0703(c) Within six months of an individual assuming lead teacher or child care administrator duties, each center shall maintain the following information in the individual's staff record, a copy of notification from the Division that the individual meets the equivalency or that the individual does not meet the equivalency and must enroll in coursework. COMPLIANCE PLAN: Due to all violations cited during today’s visit being corrected during today’s visit, no letter of compliance is required to be sent to me. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you today. If you have any questions, feel free to contact me by phone at (980) 434-3877 or by email at meria.wilder@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov. Thank you for your time and assistance today. 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: ABERNETHY MEMORIAL CHILD DEVELOPMENT CENTER Facility ID: 1855074 Consultant: MERIA WILDER Operation Type: Center Case Number: Visit Date: 10/15/2025 Number Present: 78 Completed Date: 10/15/2025 Age: From 0 To 5 Total Minutes: 321 Time In: 09:09 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable child care requirements during an annual compliance visit. You, Amanda Cox, Assistant Director, assisted us with today’s visit. Your last annual compliance visit was conducted on December 3, 2024. Prior to today’s visit, the compliance history was 97%. The NC Secretary of State was checked prior to today’s visit, and your business Abernethy Memorial Child Development Center was listed as current-active. Required postings were posted as required at the entrance to the facility. Your program currently operates with a five-star license, issued on October 2, 2024. The following restrictions are listed on the license: first shift care and meets enhanced ratios. I reviewed with you today the facility information found in our system. You stated there have been no changes to your phone number, email address, mailing address, or corporate contact for the facility. Your last sanitation inspection was dated June 10, 2025, with a Superior classification and eleven (11) demerits. Your last fire inspection was dated April 1, 2025, and received on April 1, 2025. Emergency drills, fire drills and playground inspections were monitored and are occurring as required. Each licensed indoor and outdoor space was monitored today. The children were observed playing in activity areas, toileting, having lunch and participating in teacher directed activities. Teacher and children’s interactions were positive and nurturing. Daily sign in/out sheets and attendance was current/accurate. A current menu was posted, documented appropriate nutritious snacks and meals, showed a variety of foods, and complied with Meal Patterns for Children in Child Care Programs. Hazardous product storage and general safety were monitored. There were 24 medications, 24 medication permission to administer forms, and no Medical Action Plans to monitor during today’s visit. A portion of the children’s files and staff record files were monitored. The Staff and Training Worksheets were completed prior to today’s visit and sent to me by email. You stated that your program does not provide screen time. Prior to today’s visit you sent me verification of insurance, registration and the tag information for both of your both of your transportation vehicles. Today you stated that at this time you are not providing transportation and at this time transportation will only be provided during the summer months for summer camp. I will monitor the transportation vehicles during the next monitoring visit. The Operational Policies, Staff Policies/Procedures and Parent Handbook were sent to me by email on August 4, 2025, and were reviewed in my office prior to today’s visit and a printed copy was provided today. You stated that neither has changed as of toady’s date. Your EPR plan was updated and reviewed on August 19, 2025. Supervision of children, staff-child ratios and group sizes, use of approved space, classroom capacities, appropriate discipline and permit restrictions were monitored during today’s visit. The “Annual Compliance Monitoring Checklist for Child Care Centers” was completed during today’s visit. Health and safety requirements were monitored. The following violations were observed and cited during today's visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. In space 7, the activity plan that was posted was dated 10/6-10/2025 and was not current. GS 110-91(12); .0508(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space 2, there was an electrical power strip that had one (1) outlet uncovered and in space 1, there was an electrical power strip that had four (4) outlets that were uncovered. 10A NCAC 09 .0604(c) 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 6, the permission to administer form for two (2) oral medications (CVS Children’s Pain/Fever Acetaminophen 160mg and Ibuprofen Oral Suspension USP 100mg) had a permission to administer form in which the permission to administer expired on 10/12/25. .0803(12) Technical Assistance: Child care programs are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past eighteen (18) months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. • In space 6, the permission to administer form for two (2) oral medications (CVS Children’s Pain/Fever Acetaminophen 160mg and Ibuprofen Oral Suspension USP 100mg) had a permission to administer form in which the permission to administer expired on 10/12/25. As discussed, the permission to administer form can provide standing orders for medication administration for up to 6 months for over the counter medications and has to be updated prior to the expiration of the current permission authorization. I suggest a reminder be set on a visible calendar as a reminder of medication permission to administer authorization dates to remain in compliance with child care requirements. This violation was corrected during the visit by you removing the medication from the classroom, storing it in the office and contacting the parent. • In space 7, the activity plan that was posted was dated 10/6-10/2025 and was not current. As discussed, the activity plan that is posted must be kept current. I suggest a calendar reminder be set to update/change the activity plan weekly. This violation was corrected during the visit by the teacher posting the current lesson plan. • In space 2, there was an electrical power strip that had one (1) outlet uncovered and in space 1, there was an electrical power strip that had four (4) outlets that were uncovered. As discussed, all electrical outlets, including power strips, must be covered at all times. I suggest that prior to children coming to the classroom a walkthrough of each space be completed to ensure that all safety hazards have been identified and corrected. This violation was corrected during the visit by all outlets being covered. Consultation: • QRIS Information: Although you completed the ERS in August 2024, today we discussed the three QRIS Pathways to the Stars, which became effective on July 1, 2025. I encouraged you to visit the following link for more information: https://ncchildcare.ncdhhs.gov/Provider/Licensing/StarRated-License/QRIS-Modernization. There, you will find detailed information about each pathway and resources to help you become familiar with the Pathways to the Stars in preparation for your next reassessment window in 2027. The following steps are how you can begin preparing for the Rated License process: Next Steps by Pathway • If you choose Pathway 1: Complete the “Application for Assessment for a Rated License for Centers” electronically and submit to your child care consultant. Complete the “Environmental Rating Scale (ERS) Assessment Request” form electronically and submit to your child care consultant. Confirm all staff have active WORKS accounts. Complete the QRIS Staff Information and Education Worksheet electronically. Begin planning for your three-month self-study using the applicable ITERS-3, ECERS-3, SACERS-U, OR FCCERS-3 books. Prepare for Environmental Rating Scale (ERS) assessments. Access resources, training, and outreach via ncrlap.org. Work with CCR&R or Smart Start for support in preparation. Identify CQI goals and begin planning for implementation. Develop strategies for Family and Community Engagement. If four-year-olds are enrolled, select and implement an approved curriculum. • If you choose Pathway 2: Complete the “Application for Assessment for a Rated License for Centers” electronically and submit to your child care consultant. Confirm all staff have active WORKS accounts. Complete the QRIS Staff Information and Education Worksheet electronically. Identify CQI goals and begin planning for implementation. Develop strategies for Family and Community Engagement. Select and implement a curriculum. (4- and 5-star centers must use an approved curriculum and formative assessment tool for all ages.) Arranging coaching or training options for administrators and lead teachers. • If you choose Pathway 3: Complete the “Application for Assessment for a Rated License for Centers” electronically and submit to your child care consultant. Ensure all staff have active WORKS accounts. If you are accredited through NAFCC, NECPA, AMS, or IMC, you may earn a three-star rated license with NO Education standards evaluation. If you are accredited through NAFCC, NECPA, AMS, or IMC and would like to earn a four or five star rated license, the Education standard evaluation will determine the star rating earned. If you are accredited through NAEYC, NAC, COGNIA, or your facility is Head Start and/or Early Head Start Education, NO Education standards evaluation is needed. Documentation of accreditation status and Head Start designation must be submitted to process your star rated license. Consultation: • One staff member, hired on June 12, 2025, who works seasonally during the summer, had not completed First Aid and CPR training prior to being taken off of the schedule on August 1, 2025. You stated that this staff member will return for the upcoming summer season. I informed you that the staff member must complete current First Aid and CPR training courses prior to resuming work. You stated that the staff member has already completed these courses through her employment with the school system and will submit the training certificates for verification. • You requested that On-going training hours are monitored annually from annual compliance visit date to annual compliance visit date. Please ensure that staff are documenting their training on the on-going training log and have attached the training certificates. • Please ensure that all staff have a WORKS account and that they mail official transcripts to the Workforce Unit located in the Raleigh office for evaluation. Once staff have received a status letter in their WORKS account, they should place a copy of their letter in their staff file. • Please ensure that the staff and training worksheet is updated for all staff members to reflect on any changes. Remember if there is a blank space something will need to be written in that space. If it does not pertain to that staff member, you can write “NA”. • Here are some important links on the DCEEE website that may be helpful: - Child Care Rules and Laws: https://ncchildcare.ncdhhs.gov/Services/Licensing/Getting-a-License - Training and Professional Development: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development - Required Health and Safety Training: https://ncchildcare.ncdhhs.gov/Provider/Training-and-ProfessionalDevelopment/Health-and-Safety-Trainings - Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-ChildCare/Care-for-Children-Receiving-Subsidy - DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New COMPLIANCE PLAN: All violations that were cited during today’s visit were corrected during the visit. No compliance letter is required to be sent to me. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you today. If you have any questions, feel free to contact me by phone at (980) 434-3877 or by email at meria.wilder@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov. Thank you for your time and assistance today. 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: ABERNETHY MEMORIAL CHILD DEVELOPMENT CENTER Facility ID: 1855074 Consultant: MERIA WILDER Operation Type: Center Case Number: Visit Date: 10/15/2025 Number Present: 78 Completed Date: 10/15/2025 Age: From 0 To 5 Total Minutes: 321 Time In: 09:09 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable child care requirements during an annual compliance visit. You, Amanda Cox, Assistant Director, assisted us with today’s visit. Your last annual compliance visit was conducted on December 3, 2024. Prior to today’s visit, the compliance history was 97%. The NC Secretary of State was checked prior to today’s visit, and your business Abernethy Memorial Child Development Center was listed as current-active. Required postings were posted as required at the entrance to the facility. Your program currently operates with a five-star license, issued on October 2, 2024. The following restrictions are listed on the license: first shift care and meets enhanced ratios. I reviewed with you today the facility information found in our system. You stated there have been no changes to your phone number, email address, mailing address, or corporate contact for the facility. Your last sanitation inspection was dated June 10, 2025, with a Superior classification and eleven (11) demerits. Your last fire inspection was dated April 1, 2025, and received on April 1, 2025. Emergency drills, fire drills and playground inspections were monitored and are occurring as required. Each licensed indoor and outdoor space was monitored today. The children were observed playing in activity areas, toileting, having lunch and participating in teacher directed activities. Teacher and children’s interactions were positive and nurturing. Daily sign in/out sheets and attendance was current/accurate. A current menu was posted, documented appropriate nutritious snacks and meals, showed a variety of foods, and complied with Meal Patterns for Children in Child Care Programs. Hazardous product storage and general safety were monitored. There were 24 medications, 24 medication permission to administer forms, and no Medical Action Plans to monitor during today’s visit. A portion of the children’s files and staff record files were monitored. The Staff and Training Worksheets were completed prior to today’s visit and sent to me by email. You stated that your program does not provide screen time. Prior to today’s visit you sent me verification of insurance, registration and the tag information for both of your both of your transportation vehicles. Today you stated that at this time you are not providing transportation and at this time transportation will only be provided during the summer months for summer camp. I will monitor the transportation vehicles during the next monitoring visit. The Operational Policies, Staff Policies/Procedures and Parent Handbook were sent to me by email on August 4, 2025, and were reviewed in my office prior to today’s visit and a printed copy was provided today. You stated that neither has changed as of toady’s date. Your EPR plan was updated and reviewed on August 19, 2025. Supervision of children, staff-child ratios and group sizes, use of approved space, classroom capacities, appropriate discipline and permit restrictions were monitored during today’s visit. The “Annual Compliance Monitoring Checklist for Child Care Centers” was completed during today’s visit. Health and safety requirements were monitored. The following violations were observed and cited during today's visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. In space 7, the activity plan that was posted was dated 10/6-10/2025 and was not current. GS 110-91(12); .0508(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space 2, there was an electrical power strip that had one (1) outlet uncovered and in space 1, there was an electrical power strip that had four (4) outlets that were uncovered. 10A NCAC 09 .0604(c) 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 6, the permission to administer form for two (2) oral medications (CVS Children’s Pain/Fever Acetaminophen 160mg and Ibuprofen Oral Suspension USP 100mg) had a permission to administer form in which the permission to administer expired on 10/12/25. .0803(12) Technical Assistance: Child care programs are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past eighteen (18) months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. • In space 6, the permission to administer form for two (2) oral medications (CVS Children’s Pain/Fever Acetaminophen 160mg and Ibuprofen Oral Suspension USP 100mg) had a permission to administer form in which the permission to administer expired on 10/12/25. As discussed, the permission to administer form can provide standing orders for medication administration for up to 6 months for over the counter medications and has to be updated prior to the expiration of the current permission authorization. I suggest a reminder be set on a visible calendar as a reminder of medication permission to administer authorization dates to remain in compliance with child care requirements. This violation was corrected during the visit by you removing the medication from the classroom, storing it in the office and contacting the parent. • In space 7, the activity plan that was posted was dated 10/6-10/2025 and was not current. As discussed, the activity plan that is posted must be kept current. I suggest a calendar reminder be set to update/change the activity plan weekly. This violation was corrected during the visit by the teacher posting the current lesson plan. • In space 2, there was an electrical power strip that had one (1) outlet uncovered and in space 1, there was an electrical power strip that had four (4) outlets that were uncovered. As discussed, all electrical outlets, including power strips, must be covered at all times. I suggest that prior to children coming to the classroom a walkthrough of each space be completed to ensure that all safety hazards have been identified and corrected. This violation was corrected during the visit by all outlets being covered. Consultation: • QRIS Information: Although you completed the ERS in August 2024, today we discussed the three QRIS Pathways to the Stars, which became effective on July 1, 2025. I encouraged you to visit the following link for more information: https://ncchildcare.ncdhhs.gov/Provider/Licensing/StarRated-License/QRIS-Modernization. There, you will find detailed information about each pathway and resources to help you become familiar with the Pathways to the Stars in preparation for your next reassessment window in 2027. The following steps are how you can begin preparing for the Rated License process: Next Steps by Pathway • If you choose Pathway 1: Complete the “Application for Assessment for a Rated License for Centers” electronically and submit to your child care consultant. Complete the “Environmental Rating Scale (ERS) Assessment Request” form electronically and submit to your child care consultant. Confirm all staff have active WORKS accounts. Complete the QRIS Staff Information and Education Worksheet electronically. Begin planning for your three-month self-study using the applicable ITERS-3, ECERS-3, SACERS-U, OR FCCERS-3 books. Prepare for Environmental Rating Scale (ERS) assessments. Access resources, training, and outreach via ncrlap.org. Work with CCR&R or Smart Start for support in preparation. Identify CQI goals and begin planning for implementation. Develop strategies for Family and Community Engagement. If four-year-olds are enrolled, select and implement an approved curriculum. • If you choose Pathway 2: Complete the “Application for Assessment for a Rated License for Centers” electronically and submit to your child care consultant. Confirm all staff have active WORKS accounts. Complete the QRIS Staff Information and Education Worksheet electronically. Identify CQI goals and begin planning for implementation. Develop strategies for Family and Community Engagement. Select and implement a curriculum. (4- and 5-star centers must use an approved curriculum and formative assessment tool for all ages.) Arranging coaching or training options for administrators and lead teachers. • If you choose Pathway 3: Complete the “Application for Assessment for a Rated License for Centers” electronically and submit to your child care consultant. Ensure all staff have active WORKS accounts. If you are accredited through NAFCC, NECPA, AMS, or IMC, you may earn a three-star rated license with NO Education standards evaluation. If you are accredited through NAFCC, NECPA, AMS, or IMC and would like to earn a four or five star rated license, the Education standard evaluation will determine the star rating earned. If you are accredited through NAEYC, NAC, COGNIA, or your facility is Head Start and/or Early Head Start Education, NO Education standards evaluation is needed. Documentation of accreditation status and Head Start designation must be submitted to process your star rated license. Consultation: • One staff member, hired on June 12, 2025, who works seasonally during the summer, had not completed First Aid and CPR training prior to being taken off of the schedule on August 1, 2025. You stated that this staff member will return for the upcoming summer season. I informed you that the staff member must complete current First Aid and CPR training courses prior to resuming work. You stated that the staff member has already completed these courses through her employment with the school system and will submit the training certificates for verification. • You requested that On-going training hours are monitored annually from annual compliance visit date to annual compliance visit date. Please ensure that staff are documenting their training on the on-going training log and have attached the training certificates. • Please ensure that all staff have a WORKS account and that they mail official transcripts to the Workforce Unit located in the Raleigh office for evaluation. Once staff have received a status letter in their WORKS account, they should place a copy of their letter in their staff file. • Please ensure that the staff and training worksheet is updated for all staff members to reflect on any changes. Remember if there is a blank space something will need to be written in that space. If it does not pertain to that staff member, you can write “NA”. • Here are some important links on the DCEEE website that may be helpful: - Child Care Rules and Laws: https://ncchildcare.ncdhhs.gov/Services/Licensing/Getting-a-License - Training and Professional Development: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development - Required Health and Safety Training: https://ncchildcare.ncdhhs.gov/Provider/Training-and-ProfessionalDevelopment/Health-and-Safety-Trainings - Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-ChildCare/Care-for-Children-Receiving-Subsidy - DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New COMPLIANCE PLAN: All violations that were cited during today’s visit were corrected during the visit. No compliance letter is required to be sent to me. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you today. If you have any questions, feel free to contact me by phone at (980) 434-3877 or by email at meria.wilder@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov. Thank you for your time and assistance today. 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: ABERNETHY MEMORIAL CHILD DEVELOPMENT CENTER Facility ID: 1855074 Consultant: MERIA WILDER Operation Type: Center Case Number: Visit Date: 12/3/2024 Number Present: 74 Completed Date: 12/3/2024 Age: From 0 To 5 Total Minutes: 360 Time In: 10:30 AM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable child care requirements during an annual compliance visit. You, Georgianna Quinney, Administrator, assisted us with today’s visit. Your program currently operates with a five-star license, issued on October 2, 2024. The following restrictions are listed on the license: first shift care (daytime care) and meets enhanced ratios. Prior to today’s visit, the compliance history was 78%. I reviewed with you today the facility information found in our system. You stated there have been no changes to your phone number, email address, mailing address, or corporate contact for the facility. Your business, Abernethy Memorial Child Development Center, was checked in the North Carolina Secretary of State and was listed as current and active. The following required postings were prominently displayed at the entrance to the facility and foyer: NC Summary of Childcare Law, Emergency Medical Care Plan, Emergency Phone Numbers, First Aid poster, tobacco free signage, sanitation placard, Five Star License, and daily schedule. Your facility’s five-star rated license earned 5 points in program standards, 7 points in staff education and 1 quality point met by providing a staff benefits package and infrastructure of parent involvement. Your facility operates with the following restrictions: 1st shift (daytime care) and meets enhanced ratios. Your last sanitation inspection was dated June 12, 2024, with a Superior classification and 6 demerits. Your last fire inspection was dated April 2, 2024. Emergency drills, fire drills and playground inspections were monitored and are occurring as required. I monitored your incident report log and EPR plan dated September 6, 2024. I visited each licensed indoor and each outdoor play space with you today. The children were observed playing in activity areas, participating in transitions, toileting and participating in teacher directed activities. You stated that your facility does not provide screen time. A current menu was posted, prepared, and items listed on the menu were served that documented appropriate nutritious snacks and meals, showed a variety of foods, and complied with Meal Patterns for Children in Child Care Programs. I have monitored all of your indoor and outdoor spaces for hazardous product storage, general safety, and discipline practices were monitored. Your facility does administer any medications. During today’s visit 37 medications, 37 medication permission to administer forms were monitored and 1 Medical Action Plan was monitored. A random sampling of children’s files and staff record files were monitored. Health and safety requirements were monitored. The Staff and Training Worksheet was completed and sent to me by email prior to today’s visit. Your program does provide transportation, and your transportation vehicles required documentation were mailed to me prior to today’s monitoring visit. I monitored your transportation vehicles and their required documentation. Supervision of children, staff-child ratios and group sizes, use of approved space, classroom capacities, and permit restrictions were monitored during today’s visit. Your facility was monitored for all health and safety requirements. The “Annual Compliance Monitoring Checklist for Child Care Centers” was completed during today’s visit. The following violations were observed and cited during today's visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. Space 4 had an activity plan posted that was dated for the week of 11/25-29/2024. GS 110-91(12); .0508(a) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. Spaces 1, 2, 3, and 7 had window seals that contained debris, sinks that were soiled and walls that were not kept clean. Space 2 had a baseboard area at the back of the classroom with trimming that had separated from the wall. 15A NCAC 18A .2825(a) 705 Equipment and furnishings were not sturdy, stable and free of hazards. The baseboard in space 7 contained a changing table that had chipped paint. .0601(c) 807 A safe indoor and outdoor environment was not provided for the children. Space 7 had a door that leads to the outside propped open with a bucket. As discussed, no doors can be propped open. 10A NCAC 09 .0601(a) 847 Parent's medication authorization did not include required information. 1 diaper cream in space 1 had a medication permission to administer form that provided standing orders for 6 months had expired. 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. There were 2 diaper creams in space 2 that had a prescription discard after date of 10/7/2024. .0803(12) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. The Prevention of the Shaken Baby Syndrome and Abusive Head Trauma policy acknowledgement statement should be signed by the parent including the date that the policy was given and explained, and the child’s date of enrollment. .0608(b)(1-6) • The Prevention of the Shaken Baby Syndrome and Abusive Head Trauma policy acknowledgement statement should be signed by the parent including the date that the policy was given and explained, and the child’s date of enrollment. To maintain compliance with this child care requirement, I suggest that you double-check each child’s acknowledgement statement prior to enrollment prior to ensure the statements are signed, dated and completed as required prior to placing the document in the child’s children’s record. • Space 4 had an activity plan posted that was dated for the week of 11/25-29/2024. As discussed, activity plans are required to be current including engaging and enriching activities that build on each child’s development. I suggest that on Friday’s of every week all teachers update and post their activity plan in the classrooms for the upcoming week to prevent the lesson plan from not being current. • Spaces 1, 2, 3, and 7 had window seals that contained debris, sinks that were soiled and walls that were not kept clean. Space 2 had a baseboard area at the back of the classroom with trimming that had separated from the wall. As discussed, all walls, window trimmings, and sinks should be kept clean and in good repair. I suggest that classroom teachers complete a walkthrough of their classroom spaces weekly to ensure that all spaces and trimmings in the classroom are kept clean and in good repair, free of debris/hazards. • Space 7 had a door that leads to the outside propped open with a bucket. As discussed, no doors can be propped open. I suggest that if the temperature of the classroom is not suitable for children and teachers that you notify your Administrator. • The baseboard in space 7 contained a changing table that had chipped paint. • In space 2 the baseboard area at the back of the classroom had trimming that had separated from the wall. • There were 2 diaper creams in space 2 that had a prescription discard after date of 10/7/2024. 1 diaper cream in space 1 had a medication permission to administer form that provided standing orders for 6 months had expired. As discussed, all medications and their permission to administer forms should be kept current and up to date. I suggest that teachers that care for children in spaces with medications monitor medications and their required documentation quarterly to ensure that all medications and accompanying documentation are current and maintained as required by child care rules. CONSULTATION: 1. Child care programs are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past eighteen (18) months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. 2. Please send the annual fire inspection to me within seven days of receiving a visit from the fire marshal. Please ensure that the fire inspection is completed on the Adult Day Care & Child Care Fire Inspection Report form. 3. Please ensure that the staff and training worksheet is updated for all staff members to reflect any changes. Remember if there is a blank space something will need to be written in that space. If it does not pertain to that staff member, you can write “NA”. 4. https://www.positivechildhoodalliancenc.org/online-trainings/ is the new website for new staff to complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of hire. Please ensure that a copy of the training certificate is in each staff member’s file. 5. Please ensure that all staff have a WORKS account and that they mail official transcripts to the Workforce Unit located in the Raleigh office for evaluation. Once staff have received a status letter in their WORKS account, they should place a copy of their letter in their staff file. 6. On-going training hours are monitored annually from annual compliance visit date to annual compliance visit date. Please ensure that staff are documenting their training on the on-going training log and have attached the training certificates. 7. All Health & Safety trainings are required to be completed by all staff within one year of employment. Please ensure that staff are documenting Health & Safety trainings on the Health & Safety training log and have attached the training certificates. 8. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. 9. Here are some important links on the DCEEE website that may be helpful: -Child Care Rules and Laws: https://ncchildcare.ncdhhs.gov/Services/Licensing/Getting-a-License -Training and Professional Development: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development -Required Health and Safety Training: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings -Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-Child-Care/Care-for-Children-Receiving-Subsidy -DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New COMPLIANCE PLAN: All violations cited and not corrected today must be corrected immediately. Please submit a written, signed, and dated statement to me at the email or mailing address below detailing the following information: 1) Your compliance letter must include the following: a. The name of your center b. The center’s ID number c. The date you write the letter d. Address each violation stating how you corrected the violation and are now in compliance. e. Your signature 2) Supporting documentation including the following: a. Training certificates, CBC letters, acknowledgement statements, and photographs for me to use to verify compliance. b. Please DO NOT send staff or child medical documents as this is a violation of HIPPA protocol. If needed I will verify these documents at the next monitoring visit. I must receive your compliance letter no later than December 17, 2024. Please be aware any information submitted by you is legal documentation. If you state in your compliance letter that corrections have been made when they have not, it will be considered falsification of information. If you cannot meet the requirements by this date you should contact me with a timeline of the corrections. In some cases, this timeline may be extended. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Your letter may be mailed to me at: Meria Wilder P.O. Box 6591 Statesville, NC 28677 For your convenience, your compliance letter may be sent by email to meria.wilder@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 in the body of the email: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you today. We appreciate all you and your staff do to serve the children and families in your community. If you have any questions, feel free to contact me by phone at (980) 434-3877 or by email at meria.wilder@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov. Thank you for your time today. 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: ABERNETHY MEMORIAL CHILD DEVELOPMENT CENTER Facility ID: 1855074 Consultant: MERIA WILDER Operation Type: Center Case Number: Visit Date: 12/3/2024 Number Present: 74 Completed Date: 12/3/2024 Age: From 0 To 5 Total Minutes: 360 Time In: 10:30 AM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable child care requirements during an annual compliance visit. You, Georgianna Quinney, Administrator, assisted us with today’s visit. Your program currently operates with a five-star license, issued on October 2, 2024. The following restrictions are listed on the license: first shift care (daytime care) and meets enhanced ratios. Prior to today’s visit, the compliance history was 78%. I reviewed with you today the facility information found in our system. You stated there have been no changes to your phone number, email address, mailing address, or corporate contact for the facility. Your business, Abernethy Memorial Child Development Center, was checked in the North Carolina Secretary of State and was listed as current and active. The following required postings were prominently displayed at the entrance to the facility and foyer: NC Summary of Childcare Law, Emergency Medical Care Plan, Emergency Phone Numbers, First Aid poster, tobacco free signage, sanitation placard, Five Star License, and daily schedule. Your facility’s five-star rated license earned 5 points in program standards, 7 points in staff education and 1 quality point met by providing a staff benefits package and infrastructure of parent involvement. Your facility operates with the following restrictions: 1st shift (daytime care) and meets enhanced ratios. Your last sanitation inspection was dated June 12, 2024, with a Superior classification and 6 demerits. Your last fire inspection was dated April 2, 2024. Emergency drills, fire drills and playground inspections were monitored and are occurring as required. I monitored your incident report log and EPR plan dated September 6, 2024. I visited each licensed indoor and each outdoor play space with you today. The children were observed playing in activity areas, participating in transitions, toileting and participating in teacher directed activities. You stated that your facility does not provide screen time. A current menu was posted, prepared, and items listed on the menu were served that documented appropriate nutritious snacks and meals, showed a variety of foods, and complied with Meal Patterns for Children in Child Care Programs. I have monitored all of your indoor and outdoor spaces for hazardous product storage, general safety, and discipline practices were monitored. Your facility does administer any medications. During today’s visit 37 medications, 37 medication permission to administer forms were monitored and 1 Medical Action Plan was monitored. A random sampling of children’s files and staff record files were monitored. Health and safety requirements were monitored. The Staff and Training Worksheet was completed and sent to me by email prior to today’s visit. Your program does provide transportation, and your transportation vehicles required documentation were mailed to me prior to today’s monitoring visit. I monitored your transportation vehicles and their required documentation. Supervision of children, staff-child ratios and group sizes, use of approved space, classroom capacities, and permit restrictions were monitored during today’s visit. Your facility was monitored for all health and safety requirements. The “Annual Compliance Monitoring Checklist for Child Care Centers” was completed during today’s visit. The following violations were observed and cited during today's visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. Space 4 had an activity plan posted that was dated for the week of 11/25-29/2024. GS 110-91(12); .0508(a) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. Spaces 1, 2, 3, and 7 had window seals that contained debris, sinks that were soiled and walls that were not kept clean. Space 2 had a baseboard area at the back of the classroom with trimming that had separated from the wall. 15A NCAC 18A .2825(a) 705 Equipment and furnishings were not sturdy, stable and free of hazards. The baseboard in space 7 contained a changing table that had chipped paint. .0601(c) 807 A safe indoor and outdoor environment was not provided for the children. Space 7 had a door that leads to the outside propped open with a bucket. As discussed, no doors can be propped open. 10A NCAC 09 .0601(a) 847 Parent's medication authorization did not include required information. 1 diaper cream in space 1 had a medication permission to administer form that provided standing orders for 6 months had expired. 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. There were 2 diaper creams in space 2 that had a prescription discard after date of 10/7/2024. .0803(12) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. The Prevention of the Shaken Baby Syndrome and Abusive Head Trauma policy acknowledgement statement should be signed by the parent including the date that the policy was given and explained, and the child’s date of enrollment. .0608(b)(1-6) • The Prevention of the Shaken Baby Syndrome and Abusive Head Trauma policy acknowledgement statement should be signed by the parent including the date that the policy was given and explained, and the child’s date of enrollment. To maintain compliance with this child care requirement, I suggest that you double-check each child’s acknowledgement statement prior to enrollment prior to ensure the statements are signed, dated and completed as required prior to placing the document in the child’s children’s record. • Space 4 had an activity plan posted that was dated for the week of 11/25-29/2024. As discussed, activity plans are required to be current including engaging and enriching activities that build on each child’s development. I suggest that on Friday’s of every week all teachers update and post their activity plan in the classrooms for the upcoming week to prevent the lesson plan from not being current. • Spaces 1, 2, 3, and 7 had window seals that contained debris, sinks that were soiled and walls that were not kept clean. Space 2 had a baseboard area at the back of the classroom with trimming that had separated from the wall. As discussed, all walls, window trimmings, and sinks should be kept clean and in good repair. I suggest that classroom teachers complete a walkthrough of their classroom spaces weekly to ensure that all spaces and trimmings in the classroom are kept clean and in good repair, free of debris/hazards. • Space 7 had a door that leads to the outside propped open with a bucket. As discussed, no doors can be propped open. I suggest that if the temperature of the classroom is not suitable for children and teachers that you notify your Administrator. • The baseboard in space 7 contained a changing table that had chipped paint. • In space 2 the baseboard area at the back of the classroom had trimming that had separated from the wall. • There were 2 diaper creams in space 2 that had a prescription discard after date of 10/7/2024. 1 diaper cream in space 1 had a medication permission to administer form that provided standing orders for 6 months had expired. As discussed, all medications and their permission to administer forms should be kept current and up to date. I suggest that teachers that care for children in spaces with medications monitor medications and their required documentation quarterly to ensure that all medications and accompanying documentation are current and maintained as required by child care rules. CONSULTATION: 1. Child care programs are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past eighteen (18) months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. 2. Please send the annual fire inspection to me within seven days of receiving a visit from the fire marshal. Please ensure that the fire inspection is completed on the Adult Day Care & Child Care Fire Inspection Report form. 3. Please ensure that the staff and training worksheet is updated for all staff members to reflect any changes. Remember if there is a blank space something will need to be written in that space. If it does not pertain to that staff member, you can write “NA”. 4. https://www.positivechildhoodalliancenc.org/online-trainings/ is the new website for new staff to complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of hire. Please ensure that a copy of the training certificate is in each staff member’s file. 5. Please ensure that all staff have a WORKS account and that they mail official transcripts to the Workforce Unit located in the Raleigh office for evaluation. Once staff have received a status letter in their WORKS account, they should place a copy of their letter in their staff file. 6. On-going training hours are monitored annually from annual compliance visit date to annual compliance visit date. Please ensure that staff are documenting their training on the on-going training log and have attached the training certificates. 7. All Health & Safety trainings are required to be completed by all staff within one year of employment. Please ensure that staff are documenting Health & Safety trainings on the Health & Safety training log and have attached the training certificates. 8. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. 9. Here are some important links on the DCEEE website that may be helpful: -Child Care Rules and Laws: https://ncchildcare.ncdhhs.gov/Services/Licensing/Getting-a-License -Training and Professional Development: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development -Required Health and Safety Training: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings -Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-Child-Care/Care-for-Children-Receiving-Subsidy -DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New COMPLIANCE PLAN: All violations cited and not corrected today must be corrected immediately. Please submit a written, signed, and dated statement to me at the email or mailing address below detailing the following information: 1) Your compliance letter must include the following: a. The name of your center b. The center’s ID number c. The date you write the letter d. Address each violation stating how you corrected the violation and are now in compliance. e. Your signature 2) Supporting documentation including the following: a. Training certificates, CBC letters, acknowledgement statements, and photographs for me to use to verify compliance. b. Please DO NOT send staff or child medical documents as this is a violation of HIPPA protocol. If needed I will verify these documents at the next monitoring visit. I must receive your compliance letter no later than December 17, 2024. Please be aware any information submitted by you is legal documentation. If you state in your compliance letter that corrections have been made when they have not, it will be considered falsification of information. If you cannot meet the requirements by this date you should contact me with a timeline of the corrections. In some cases, this timeline may be extended. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Your letter may be mailed to me at: Meria Wilder P.O. Box 6591 Statesville, NC 28677 For your convenience, your compliance letter may be sent by email to meria.wilder@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 in the body of the email: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you today. We appreciate all you and your staff do to serve the children and families in your community. If you have any questions, feel free to contact me by phone at (980) 434-3877 or by email at meria.wilder@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov. Thank you for your time today. 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: ABERNETHY MEMORIAL CHILD DEVELOPMENT CENTER Facility ID: 1855074 Consultant: MERIA WILDER Operation Type: Center Case Number: Visit Date: 12/3/2024 Number Present: 74 Completed Date: 12/3/2024 Age: From 0 To 5 Total Minutes: 360 Time In: 10:30 AM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable child care requirements during an annual compliance visit. You, Georgianna Quinney, Administrator, assisted us with today’s visit. Your program currently operates with a five-star license, issued on October 2, 2024. The following restrictions are listed on the license: first shift care (daytime care) and meets enhanced ratios. Prior to today’s visit, the compliance history was 78%. I reviewed with you today the facility information found in our system. You stated there have been no changes to your phone number, email address, mailing address, or corporate contact for the facility. Your business, Abernethy Memorial Child Development Center, was checked in the North Carolina Secretary of State and was listed as current and active. The following required postings were prominently displayed at the entrance to the facility and foyer: NC Summary of Childcare Law, Emergency Medical Care Plan, Emergency Phone Numbers, First Aid poster, tobacco free signage, sanitation placard, Five Star License, and daily schedule. Your facility’s five-star rated license earned 5 points in program standards, 7 points in staff education and 1 quality point met by providing a staff benefits package and infrastructure of parent involvement. Your facility operates with the following restrictions: 1st shift (daytime care) and meets enhanced ratios. Your last sanitation inspection was dated June 12, 2024, with a Superior classification and 6 demerits. Your last fire inspection was dated April 2, 2024. Emergency drills, fire drills and playground inspections were monitored and are occurring as required. I monitored your incident report log and EPR plan dated September 6, 2024. I visited each licensed indoor and each outdoor play space with you today. The children were observed playing in activity areas, participating in transitions, toileting and participating in teacher directed activities. You stated that your facility does not provide screen time. A current menu was posted, prepared, and items listed on the menu were served that documented appropriate nutritious snacks and meals, showed a variety of foods, and complied with Meal Patterns for Children in Child Care Programs. I have monitored all of your indoor and outdoor spaces for hazardous product storage, general safety, and discipline practices were monitored. Your facility does administer any medications. During today’s visit 37 medications, 37 medication permission to administer forms were monitored and 1 Medical Action Plan was monitored. A random sampling of children’s files and staff record files were monitored. Health and safety requirements were monitored. The Staff and Training Worksheet was completed and sent to me by email prior to today’s visit. Your program does provide transportation, and your transportation vehicles required documentation were mailed to me prior to today’s monitoring visit. I monitored your transportation vehicles and their required documentation. Supervision of children, staff-child ratios and group sizes, use of approved space, classroom capacities, and permit restrictions were monitored during today’s visit. Your facility was monitored for all health and safety requirements. The “Annual Compliance Monitoring Checklist for Child Care Centers” was completed during today’s visit. The following violations were observed and cited during today's visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. Space 4 had an activity plan posted that was dated for the week of 11/25-29/2024. GS 110-91(12); .0508(a) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. Spaces 1, 2, 3, and 7 had window seals that contained debris, sinks that were soiled and walls that were not kept clean. Space 2 had a baseboard area at the back of the classroom with trimming that had separated from the wall. 15A NCAC 18A .2825(a) 705 Equipment and furnishings were not sturdy, stable and free of hazards. The baseboard in space 7 contained a changing table that had chipped paint. .0601(c) 807 A safe indoor and outdoor environment was not provided for the children. Space 7 had a door that leads to the outside propped open with a bucket. As discussed, no doors can be propped open. 10A NCAC 09 .0601(a) 847 Parent's medication authorization did not include required information. 1 diaper cream in space 1 had a medication permission to administer form that provided standing orders for 6 months had expired. 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. There were 2 diaper creams in space 2 that had a prescription discard after date of 10/7/2024. .0803(12) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. The Prevention of the Shaken Baby Syndrome and Abusive Head Trauma policy acknowledgement statement should be signed by the parent including the date that the policy was given and explained, and the child’s date of enrollment. .0608(b)(1-6) • The Prevention of the Shaken Baby Syndrome and Abusive Head Trauma policy acknowledgement statement should be signed by the parent including the date that the policy was given and explained, and the child’s date of enrollment. To maintain compliance with this child care requirement, I suggest that you double-check each child’s acknowledgement statement prior to enrollment prior to ensure the statements are signed, dated and completed as required prior to placing the document in the child’s children’s record. • Space 4 had an activity plan posted that was dated for the week of 11/25-29/2024. As discussed, activity plans are required to be current including engaging and enriching activities that build on each child’s development. I suggest that on Friday’s of every week all teachers update and post their activity plan in the classrooms for the upcoming week to prevent the lesson plan from not being current. • Spaces 1, 2, 3, and 7 had window seals that contained debris, sinks that were soiled and walls that were not kept clean. Space 2 had a baseboard area at the back of the classroom with trimming that had separated from the wall. As discussed, all walls, window trimmings, and sinks should be kept clean and in good repair. I suggest that classroom teachers complete a walkthrough of their classroom spaces weekly to ensure that all spaces and trimmings in the classroom are kept clean and in good repair, free of debris/hazards. • Space 7 had a door that leads to the outside propped open with a bucket. As discussed, no doors can be propped open. I suggest that if the temperature of the classroom is not suitable for children and teachers that you notify your Administrator. • The baseboard in space 7 contained a changing table that had chipped paint. • In space 2 the baseboard area at the back of the classroom had trimming that had separated from the wall. • There were 2 diaper creams in space 2 that had a prescription discard after date of 10/7/2024. 1 diaper cream in space 1 had a medication permission to administer form that provided standing orders for 6 months had expired. As discussed, all medications and their permission to administer forms should be kept current and up to date. I suggest that teachers that care for children in spaces with medications monitor medications and their required documentation quarterly to ensure that all medications and accompanying documentation are current and maintained as required by child care rules. CONSULTATION: 1. Child care programs are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past eighteen (18) months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. 2. Please send the annual fire inspection to me within seven days of receiving a visit from the fire marshal. Please ensure that the fire inspection is completed on the Adult Day Care & Child Care Fire Inspection Report form. 3. Please ensure that the staff and training worksheet is updated for all staff members to reflect any changes. Remember if there is a blank space something will need to be written in that space. If it does not pertain to that staff member, you can write “NA”. 4. https://www.positivechildhoodalliancenc.org/online-trainings/ is the new website for new staff to complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of hire. Please ensure that a copy of the training certificate is in each staff member’s file. 5. Please ensure that all staff have a WORKS account and that they mail official transcripts to the Workforce Unit located in the Raleigh office for evaluation. Once staff have received a status letter in their WORKS account, they should place a copy of their letter in their staff file. 6. On-going training hours are monitored annually from annual compliance visit date to annual compliance visit date. Please ensure that staff are documenting their training on the on-going training log and have attached the training certificates. 7. All Health & Safety trainings are required to be completed by all staff within one year of employment. Please ensure that staff are documenting Health & Safety trainings on the Health & Safety training log and have attached the training certificates. 8. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. 9. Here are some important links on the DCEEE website that may be helpful: -Child Care Rules and Laws: https://ncchildcare.ncdhhs.gov/Services/Licensing/Getting-a-License -Training and Professional Development: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development -Required Health and Safety Training: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings -Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-Child-Care/Care-for-Children-Receiving-Subsidy -DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New COMPLIANCE PLAN: All violations cited and not corrected today must be corrected immediately. Please submit a written, signed, and dated statement to me at the email or mailing address below detailing the following information: 1) Your compliance letter must include the following: a. The name of your center b. The center’s ID number c. The date you write the letter d. Address each violation stating how you corrected the violation and are now in compliance. e. Your signature 2) Supporting documentation including the following: a. Training certificates, CBC letters, acknowledgement statements, and photographs for me to use to verify compliance. b. Please DO NOT send staff or child medical documents as this is a violation of HIPPA protocol. If needed I will verify these documents at the next monitoring visit. I must receive your compliance letter no later than December 17, 2024. Please be aware any information submitted by you is legal documentation. If you state in your compliance letter that corrections have been made when they have not, it will be considered falsification of information. If you cannot meet the requirements by this date you should contact me with a timeline of the corrections. In some cases, this timeline may be extended. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Your letter may be mailed to me at: Meria Wilder P.O. Box 6591 Statesville, NC 28677 For your convenience, your compliance letter may be sent by email to meria.wilder@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 in the body of the email: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you today. We appreciate all you and your staff do to serve the children and families in your community. If you have any questions, feel free to contact me by phone at (980) 434-3877 or by email at meria.wilder@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov. Thank you for your time today. 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: ABERNETHY MEMORIAL CHILD DEVELOPMENT CENTER Facility ID: 1855074 Consultant: MERIA WILDER Operation Type: Center Case Number: 0924-126L Visit Date: 9/24/2024 Number Present: 72 Completed Date: 9/24/2024 Age: From 0 To 5 Total Minutes: 180 Time In: 10:40 AM Time Out: 01:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to verify correction of violations documented during my September 16, 2024, complaint visit. There was a concern that a child was not attended to in a nurturing and appropriate manner or in keeping with the child’s developmental needs. You, Georgianna Quinney, Administrator, and Amanda Cox, Assistant Administrator, assisted me with completing the walkthrough of your facility today. All indoor spaces were monitored. Outdoor spaces were not monitored during today’s visit due to rainy conditions that had previously occurred. You stated that 83 children were enrolled at the facility, and I observed 72 children being present today. I monitored for the following: permit restrictions, supervision, staff/child ratios, adequate and approved spaces, discipline, group sizes, and capacity. Children were observed during rest time, lunch time and transitioning through daily routines. Teachers were observed using soft tones, speaking to children in a kind-developmentally appropriate manner and comforting children as they rested on their cots. The following violation was documented during the September 16, 2024 complaint visit where I monitored for compliance during this visit: Item #902: Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. During today’s visit all children were attended to in a manner that is nurturing and appropriate to the child’s developmental needs. As stated in the September 16, 2024, 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 observed children being cared for in a nurturing and appropriate manner or in keeping with the child’s developmental needs, I verified correction of violation item #902. The following violations were documented today: Violation Number Comment Rule 1301 Center did not maintain a record of daily attendance. In classroom #4 one child was not marked present today on the attendance record. GS 110-91(9) Technical Assistance: 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 documented must be corrected immediately. • In classroom space #4, attendance records were not current. As discussed as children arrive and/or depart a classroom attendance records should be updated to ensure that all children are accounted for. I suggest that attendance be recorded as children arrive for the day or as new children are assigned to a classroom throughout the day. During the visit the Assistant Director updated the attendance records to ensure the attendance was accurate and current. Consultation: • I recommend that you consult with Jessica Lane, the state Challenging Behavior Specialist at jlane@childcareresourcesinc.org in reference to assisting the teachers and staff with challenging behaviors as needed. • I recommend Admin continue to conduct modeling observations to assist teachers with ideas of ways to interact with children in a positive and caring way as well as modeling redirection and appropriate conversations. • I recommend that Admin continue to remind staff of the discipline policy and offer additional support when necessary. Steps taken toward compliance: • On September 23, 2024, you conducted an all staff meeting minus one staff member that was on vacation to review the discipline policy including tone, volume, self-control, supervision of children, and playground safety. Also, during this meeting, L. King from the Catawba County Partnership conducted a training on Conscious Discipline. • Admin have begun completing modeling observations to provide support, suggestions and feedback and you will continue to do so with all classrooms in the facility. • Lorna King from the Catawba County Resource and Referral Agency will return to the facility on September 30, 2024, to provide classroom space #2 additional support for appropriate discipline as well as daily transitioning strategies. • A meeting has been scheduled for September 26, 2024, with the Program Manager at the Catawba County Resource and Referral Agency to determine if there are additional resources that may be available to this facility. Due to all violations cited being corrected during today’s visit there is no compliance letter required to be sent to me. At the completion of the visit, this Visit Summary was printed, reviewed, and a copy was left with you. Contact me at Meria Wilder, Child Care Consultant, 980-434-3877 or by email at meria.wilder@dhhs.nc.gov or Erin Pickard, Licensing Supervisor, at erin.pickard@dhhs.nc.gov if you have questions. Thank you for your time and assistance today. 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: ABERNETHY MEMORIAL CHILD DEVELOPMENT CENTER Facility ID: 1855074 Consultant: MERIA WILDER Operation Type: Center Case Number: 0924-126L Visit Date: 9/24/2024 Number Present: 72 Completed Date: 9/24/2024 Age: From 0 To 5 Total Minutes: 180 Time In: 10:40 AM Time Out: 01:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to verify correction of violations documented during my September 16, 2024, complaint visit. There was a concern that a child was not attended to in a nurturing and appropriate manner or in keeping with the child’s developmental needs. You, Georgianna Quinney, Administrator, and Amanda Cox, Assistant Administrator, assisted me with completing the walkthrough of your facility today. All indoor spaces were monitored. Outdoor spaces were not monitored during today’s visit due to rainy conditions that had previously occurred. You stated that 83 children were enrolled at the facility, and I observed 72 children being present today. I monitored for the following: permit restrictions, supervision, staff/child ratios, adequate and approved spaces, discipline, group sizes, and capacity. Children were observed during rest time, lunch time and transitioning through daily routines. Teachers were observed using soft tones, speaking to children in a kind-developmentally appropriate manner and comforting children as they rested on their cots. The following violation was documented during the September 16, 2024 complaint visit where I monitored for compliance during this visit: Item #902: Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. During today’s visit all children were attended to in a manner that is nurturing and appropriate to the child’s developmental needs. As stated in the September 16, 2024, 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 observed children being cared for in a nurturing and appropriate manner or in keeping with the child’s developmental needs, I verified correction of violation item #902. The following violations were documented today: Violation Number Comment Rule 1301 Center did not maintain a record of daily attendance. In classroom #4 one child was not marked present today on the attendance record. GS 110-91(9) Technical Assistance: 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 documented must be corrected immediately. • In classroom space #4, attendance records were not current. As discussed as children arrive and/or depart a classroom attendance records should be updated to ensure that all children are accounted for. I suggest that attendance be recorded as children arrive for the day or as new children are assigned to a classroom throughout the day. During the visit the Assistant Director updated the attendance records to ensure the attendance was accurate and current. Consultation: • I recommend that you consult with Jessica Lane, the state Challenging Behavior Specialist at jlane@childcareresourcesinc.org in reference to assisting the teachers and staff with challenging behaviors as needed. • I recommend Admin continue to conduct modeling observations to assist teachers with ideas of ways to interact with children in a positive and caring way as well as modeling redirection and appropriate conversations. • I recommend that Admin continue to remind staff of the discipline policy and offer additional support when necessary. Steps taken toward compliance: • On September 23, 2024, you conducted an all staff meeting minus one staff member that was on vacation to review the discipline policy including tone, volume, self-control, supervision of children, and playground safety. Also, during this meeting, L. King from the Catawba County Partnership conducted a training on Conscious Discipline. • Admin have begun completing modeling observations to provide support, suggestions and feedback and you will continue to do so with all classrooms in the facility. • Lorna King from the Catawba County Resource and Referral Agency will return to the facility on September 30, 2024, to provide classroom space #2 additional support for appropriate discipline as well as daily transitioning strategies. • A meeting has been scheduled for September 26, 2024, with the Program Manager at the Catawba County Resource and Referral Agency to determine if there are additional resources that may be available to this facility. Due to all violations cited being corrected during today’s visit there is no compliance letter required to be sent to me. At the completion of the visit, this Visit Summary was printed, reviewed, and a copy was left with you. Contact me at Meria Wilder, Child Care Consultant, 980-434-3877 or by email at meria.wilder@dhhs.nc.gov or Erin Pickard, Licensing Supervisor, at erin.pickard@dhhs.nc.gov if you have questions. Thank you for your time and assistance today. 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: ABERNETHY MEMORIAL CHILD DEVELOPMENT CENTER Facility ID: 1855074 Consultant: MERIA WILDER Operation Type: Center Case Number: 0924-126L Visit Date: 9/16/2024 Number Present: 69 Completed Date: 9/16/2024 Age: From 1 To 5 Total Minutes: 229 Time In: 10:30 AM Time Out: 02:19 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. The allegations are as follows: There is a concern that a child was not attended to in a nurturing and appropriate manner or in keeping with the child’s developmental needs. Staff/child ratio, group size, supervision, use of licensed space, space capacity, license restrictions, and the outdoor environment were monitored. I observed the indoor space used by the children. I observed the teachers sitting beside children, supervising and comforting children as the children rested on their cots during rest time. I observed the children laying down quietly and sleeping. During today’s visit there were 79 children enrolled, 69 children present with 14 teachers present. Upon arrival to the facility, I greeted the Administrator, Georgianna Quinney, and informed her of the reason for my visit. She immediately stated she expected a visit from me. I interviewed two caregivers and the Administrator. One teacher and the Administrator stated they were aware of the incident in which the allegations came from. Based on information provided, on September 9, 2024, a child was spoken to in an unkind manner by a teacher while on the playground. You stated that the teacher self-reported speaking to a child in a way that was not nurturing. You stated that you then had a meeting with the teacher giving a verbal warning, discussed alternatives to negative communication with children, provided technical assistance on appropriate redirection, assisted the teacher with seeking additional trainings and informed the teacher that is she needs a break to let you know. When interviewing the teacher, she stated that she did speak to the child in an unkind way and immediately redirected the comment made to the child. She stated upon returning inside the school building she informed the Administrator of what had taken place, and the Administrator provided her with verbal redirection, and assisted with identifying trainings that may help with appropriate discipline. The teacher also informed the Administrator that she had already enrolled in The Pyramid Model for Challenging Behaviors training independently. During today’s visit children in each classroom space were observed to be cared for in a nurturing way in keeping with their developmental needs. Based on information received from staff members that was interviewed, my classroom observations, review of the discipline policy, meeting agenda documentation, the finding regarding the allegation that a child was not attended to in a nurturing and appropriate manner or in keeping with the child’s developmental needs is substantiated. The following violation was observed: Violation Number Comment Rule 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. A staff member used a harsh tone and when verbally correcting the child, did so in a manner that was not nurturing or appropriate to the child's developmental needs. G.S. 110-91(10) Technical Assistance: • All children were not attended to in a manner that is nurturing and appropriate to the child’s developmental needs. As discussed, when communicating and redirecting children, teachers should redirect children in a nurturing manner using developmentally appropriate redirection, appropriate tone of voice, as well as modeling appropriate behaviors. I suggest that you review your facility’s discipline policy with all staff to ensure they are aware of what positive discipline looks like as well as ways to model appropriate behaviors for children. 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 September 30, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Meria Wilder, Child Care Consultant P.O. 6591 Statesville, NC 28677 meria.wilder@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 Consultation: • Contact your local Partnership to seek assistance and training related to positive discipline. • I suggest that you review your facility’s discipline policy with all staff to ensure they are aware of what positive discipline should look like. • I suggest that you conduct classroom observations and teach teachers how to model appropriate behaviors for children in various situations. • I suggest that you check in with teachers regularly to ensure that they do not need breaks, to prevent overstimulation. • We discussed that there is a challenging behaviors helpline that can be utilized by staff members. The number for the helpline is 1-888-600-1685. You can also visit childcareresourcesinc.org for more information. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Meria Wilder, Child Care Consultant at email: meria.wilder@dhhs.nc.gov or you may contact my supervisor Erin Pickard at email: erin.pickard@dhhs.nc.gov if you have any 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: ABERNETHY MEMORIAL CHILD DEVELOPMENT CENTER Facility ID: 1855074 Consultant: MERIA WILDER Operation Type: Center Case Number: 0924-126L Visit Date: 9/16/2024 Number Present: 69 Completed Date: 9/16/2024 Age: From 1 To 5 Total Minutes: 229 Time In: 10:30 AM Time Out: 02:19 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. The allegations are as follows: There is a concern that a child was not attended to in a nurturing and appropriate manner or in keeping with the child’s developmental needs. Staff/child ratio, group size, supervision, use of licensed space, space capacity, license restrictions, and the outdoor environment were monitored. I observed the indoor space used by the children. I observed the teachers sitting beside children, supervising and comforting children as the children rested on their cots during rest time. I observed the children laying down quietly and sleeping. During today’s visit there were 79 children enrolled, 69 children present with 14 teachers present. Upon arrival to the facility, I greeted the Administrator, Georgianna Quinney, and informed her of the reason for my visit. She immediately stated she expected a visit from me. I interviewed two caregivers and the Administrator. One teacher and the Administrator stated they were aware of the incident in which the allegations came from. Based on information provided, on September 9, 2024, a child was spoken to in an unkind manner by a teacher while on the playground. You stated that the teacher self-reported speaking to a child in a way that was not nurturing. You stated that you then had a meeting with the teacher giving a verbal warning, discussed alternatives to negative communication with children, provided technical assistance on appropriate redirection, assisted the teacher with seeking additional trainings and informed the teacher that is she needs a break to let you know. When interviewing the teacher, she stated that she did speak to the child in an unkind way and immediately redirected the comment made to the child. She stated upon returning inside the school building she informed the Administrator of what had taken place, and the Administrator provided her with verbal redirection, and assisted with identifying trainings that may help with appropriate discipline. The teacher also informed the Administrator that she had already enrolled in The Pyramid Model for Challenging Behaviors training independently. During today’s visit children in each classroom space were observed to be cared for in a nurturing way in keeping with their developmental needs. Based on information received from staff members that was interviewed, my classroom observations, review of the discipline policy, meeting agenda documentation, the finding regarding the allegation that a child was not attended to in a nurturing and appropriate manner or in keeping with the child’s developmental needs is substantiated. The following violation was observed: Violation Number Comment Rule 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. A staff member used a harsh tone and when verbally correcting the child, did so in a manner that was not nurturing or appropriate to the child's developmental needs. G.S. 110-91(10) Technical Assistance: • All children were not attended to in a manner that is nurturing and appropriate to the child’s developmental needs. As discussed, when communicating and redirecting children, teachers should redirect children in a nurturing manner using developmentally appropriate redirection, appropriate tone of voice, as well as modeling appropriate behaviors. I suggest that you review your facility’s discipline policy with all staff to ensure they are aware of what positive discipline looks like as well as ways to model appropriate behaviors for children. 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 September 30, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Meria Wilder, Child Care Consultant P.O. 6591 Statesville, NC 28677 meria.wilder@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 Consultation: • Contact your local Partnership to seek assistance and training related to positive discipline. • I suggest that you review your facility’s discipline policy with all staff to ensure they are aware of what positive discipline should look like. • I suggest that you conduct classroom observations and teach teachers how to model appropriate behaviors for children in various situations. • I suggest that you check in with teachers regularly to ensure that they do not need breaks, to prevent overstimulation. • We discussed that there is a challenging behaviors helpline that can be utilized by staff members. The number for the helpline is 1-888-600-1685. You can also visit childcareresourcesinc.org for more information. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Meria Wilder, Child Care Consultant at email: meria.wilder@dhhs.nc.gov or you may contact my supervisor Erin Pickard at email: erin.pickard@dhhs.nc.gov if you have any 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: ABERNETHY MEMORIAL CHILD DEVELOPMENT CENTER Facility ID: 1855074 Consultant: MERIA WILDER Operation Type: Center Case Number: 0424-421L Visit Date: 5/3/2024 Number Present: 85 Completed Date: 5/3/2024 Age: From 0 To 5 Total Minutes: 165 Time In: 01:30 PM Time Out: 04:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose for today’s unannounced visit was to investigate a complaint report that was sent in to the Raleigh office alleging violations of child care requirements. Upon arrival you Georgianna Quinney, Director, assisted me Meria Wilder, Child Care Consultant with today’s visit. When I arrived, you Georgianna Quinney, Director, greeted me. I notified you of the purpose of my visit today. I asked you how many total children were in care today and you stated there were 94 children enrolled and 85 children were present today. Regarding the allegation of inadequate supervision: During my walkthrough, upon entering classroom space #1 where children that are one year old are cared for, children were participating in free choice/movement and music as toileting and hand washing was happening. There were two teachers present in the classroom with 11 children. One teacher completing diaper changing while the other teacher completing cleaning task throughout the classroom. Children were observed singing and dancing while moving about the classroom. There was one teacher that was able to see and hear all children all of the time while the other teacher was not able to see all children all of the time but was able to hear children all of the time. Teachers were not positioned in the classroom to be able to maintain supervision at all times. I monitored the facilities supervision policy, reviewed camera footage of the afternoon outside time, the daily schedule and completed an observation of the classroom where one year old children are cared for. I monitored the camera footage of the one year old classroom while outside. I observed two teachers on blankets sitting on the playground during outside time. These teachers were not moving about, engaging with children and not adequately supervising children for a 10 minute time span. When interviewing staff, it was reported that they facility has a supervision policy that they are aware of and was able to tell me what supervision looks like in the classroom and on the playground. Staff stated that supervision is discussed at upon hire and at staff meetings during the year. All staff stated that they do not have any concerns regarding supervision and have not seen supervision not being maintained in the classroom or the facility. Based on classroom observation, proper supervision of children was not observed today. Based on information received from interviewed, classroom observation, and review of camera footage, the finding regarding the allegation of inadequate supervision was substantiated. Regarding the allegation of: There is a concern of inappropriate discipline in the classroom for one-year-old children. During the walkthrough of the classroom where one year old children are cared for, I observed children being spoken in a positive way, cared for in a nurturing way and redirected by staff. Children were picked up, held and hugs were given by the staff. Teachers showed positive interactions by smiling at children, modeling appropriate behaviors, singing and dancing with them. During staff interviews staff reported that the facility does have a discipline policy in place that they are aware of. Staff was able to walk me through what appropriate discipline looks like. Staff reported that the discipline policy is reviewed with them at the time of hire and throughout the year. Staff reported that there is no concern of inappropriate discipline to report. During today’s visit I was provided with a copy of the discipline policy and the policy that was signed by that staff members regarding what positive redirection looks like. Appropriate discipline of children was observed today. Based on information received from the discipline policy, interviewed staff and observations, the finding regarding the allegation of appropriate discipline was unsubstantiated. The following violation was observed: Violation Number Comment Rule 303 Children were not adequately supervised at all times. Both teachers in the classroom where one year old children are cared for were observed completing routine tasks and not providing adequate supervision. I monitored the camera footage of the one year old classroom while outside. I observed two teachers on blankets sitting on the playground during outside time. These teachers were not moving about, engaging with children and not adequately supervising children. .1801(a)(1-5) Technical Assistance: • Children were not adequately supervised at all times. As discussed, please be sure that all staff are familiar with the policy for maintaining supervision at all times. I recommend that all staff members caring for children are always aware of the number of children present in each group by counting children, moving about the learning environment, interacting with children, completing name to face checks, scanning to ensure that you can see and hear children at all times as well as complete trainings related to supervision. Consultation: • As discussed, be sure that all staff members are aware of the policy regarding supervision and discipline. I suggest that the supervision and discipline policy be reviewed with all staff to prevent children from not being supervised properly. • As discussed, I recommend trainings on supervision, classroom observations, modeling in the classroom be completed to help staff members become familiar with what active supervision and what it looks like and how to maintain such. • As discussed, you may want to reach out to your local Partnership to get assistance on ways to maintain compliance within your program to prevent future occurrences of inadequate supervision. • As discussed, Trainings on handling challenging behaviors are available and may help your staff become familiar with understanding challenging behaviors that may cause a feeling of being overwhelmed. • As discussed, you may want to reach out to your local Partnership to get assistance on ways to maintain compliance with caring for children within your program. • I recommend that you consult with Jessica Lane, the state Challenging Behavior Specialist at jlane@childcareresourcesinc.org in reference to assisting the teachers and staff with challenging behaviors as needed. • I recommend Admin conduct modeling observations to assist teachers with ideas of ways to interact with children in a positive and caring way as well as modeling redirection and appropriate conversations. Based on Child Care Rule .2200 an Administrative Action may be issued. 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 May 1, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Meria Wilder, Child Care Consultant P.O. 6591 Statesville, NC 28677 meria.wilder@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 Facility ID number Violation Item Number How the violation was corrected Date the violation was corrected How the violation will be prevented in the future A violation was documented for failure to maintain adequate supervision requirements. Violations of this nature directly impact the safety of the children while in your care. In addition, these types of violations have the greatest negative impact on your compliance history. During the visit, we discussed the fact that violations of this nature may lead to an administrative action against your license. A follow-up visit may be conducted in the near future to monitor compliance with child care requirements. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at (Meria Wilder, Child Care Consultant at email: meria.wilder@dhhs.nc.gov) or you may contact my supervisor Erin Pickard at email: erin.pickard@dhhs.nc.gov if you have any 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: ABERNETHY MEMORIAL CHILD DEVELOPMENT CENTER Facility ID: 1855074 Consultant: MERIA WILDER Operation Type: Center Case Number: Visit Date: 4/18/2024 Number Present: 87 Completed Date: 4/18/2024 Age: From 0 To 5 Total Minutes: 285 Time In: 11:00 AM Time Out: 03:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Rated License Assessment Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for applicable child care requirements during a rated license visit. You, Georgianna Queenie, Administrator, assisted me with today’s visit. Prior to today’s visit your business Abernethy Child Development Center was checked on the North Carolina Secretary of State website and was listed as current and active. Prior to today’s visit your compliance history score was 84%. Your last annual compliance visit was conducted on December 13, 2023. Your program operates with a five-star rated license that was issued on March 17, 2021, and earned 7 points in program standards, 5 points in education standards and 1 quality point. Your program operates with the following restrictions: daytime care only and meets enhanced ratios. The following required postings were prominently displayed at the entrance to the facility: star rated license, sanitation placard, Emergency Medical Care Plan, Emergency Phone Numbers, NC Summary of Child Care Law, and tobacco free signage. Playground inspections, emergency drills, fire inspection reports, fire drills and sanitation reports were monitored. Incident report logs were monitored. Sign in/sign out sheets and daily attendance records were completed and current. You stated that you do not provide screen time. Staff child ratios, appropriate group sizes, adequate supervision, appropriate discipline, and adequate/approved spaces were being used. Children were served a hamburger with cheese on a bun, potato fries, pineapples and 1% unflavored white milk for lunch today. Children were being cared for in a nurturing way. Health and safety standards were monitored. Toys and materials were of sufficient quantity and were observed to be in good repair. Children participated in transitioning from outside play, toileting routines, and rest time. Your outdoor playground was monitored. I monitored 16 existing staff files for criminal background qualification letters, First Aid, CPR, Recognizing and Responding to Suspicions of Child Maltreatment, BSAC, IT’S SIDS and special trainings, and 2 new staff files. No children’s records were monitored during today’s visit. All medications and their permission to administer forms were monitored. Rated License Information: You stated that you would like to have the ERS assessment completed prior to your cohort year. You sent me your application for Assessment for a Two Component Star Rated License, Rated License Assessment Request Review Form, Quality Point Form, and your Staff Education Worksheets by email prior to today’s visit. Today we discussed the rated license for your facility. We discussed the staff education of your current employees and was reviewed with you. Program Standards: The facility will earn 2 points in Program Standards for meeting requirements in Child Care Rule .2806 and meeting enhanced ratios. Education Standards: Today we discussed education for your current staff members. We discussed that new staff members will need to create a WORKS account and send in official transcripts to the Workforce Unit for evaluation. Education points will be determined upon receipt of evaluation results from the workforce unit. Quality Point: The facility has earned 1 quality point by having operational policies. Total points for a Star Rated License will be determined upon receipt of evaluation results from the Workforce Unit. During today’s visit I informed you that I will request the ERS by April 30, 2023. The following violations were cited during today’s visit: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. The playground used by toddlers had 1 broken lawn mower, 1 basketball goal net hanging from a little tykes basketball goal and 1 bubble bee riding toy had worn materials that were not in good repair. G.S. 110-91(6); .0601(b) 1879 Prescribed medicines, that are pharmaceutical samples, was not stored in the manufacturers original packaging, was not labeled with the child's name, and/or written instructions did not include the required information. There were 9 medication permission to administer forms that did not contain all of the required information. 10A NCAC 09 .0803(2)(b)(i-v) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. There were 2 medication permission to administer forms that provide standing orders to administer that were expired. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Technical Assistance: • There were 9 medication permission to administer forms that did not contain all of the required information. As discussed, be sure to review all medication permission to administer forms in detail to ensure that all required items have been completed and no items are left blank and if any items do not apply be sure to label that line as “NA” or not applicable. This item was corrected during the visit. • There were 2 medication permission to administer forms that provide standing orders to administer that were expired. As discussed, permission to administer forms for over-the-counter medications that provide standing orders for up to 12 months and should be updated prior to the expiration of the current form. I recommend that medications and their permission to administer forms be monitored routinely to ensure that all forms and medications remain current. These items were removed by the administrator and corrected during the visit. • The playground used by toddlers had 1 broken lawn mower, 1 basketball goal net hanging from a little tykes basketball goal and 1 bubble bee riding toy had worn materials that were not in good repair. As discussed, all toys, materials and furnishings are to be kept clean, and free of worn and broken materials. I recommend when completing outdoor playground inspections and when noticed, all items that are not in good repair be removed from the playground. These items were removed from the playground and corrected during the visit. Child care facilities must comply with all state laws, federal laws and local ordinances that pertain to child health, safety, and welfare of children (GS110-91 – Mandatory standards for a license). Failure to comply may lead to an administrative action (General statue 110-102-2- Administrative penalties). You must maintain at least 75% Compliance History for each 18-month period as required by GS110-90(4)(c). Please note any violations cited during future visits may negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation: All violations cited during today’s visit must be corrected immediately. • Your program is in cohort 1 for the rated license reassessment. Your program’s planning year will be from July 1, 2023, to June 30, 2024. Your program’s reassessment year will be 2024 to 2025 and the month of your reassessment will be the month that your current rated license expires. As you plan for the reassessment of the rated license, please be sure that all staff has their most recent education updated and verified in WORKS and that you are in touch with your local Partnership and Resource and Referral agencies to provide technical assistance and help you prepare for reassessment. • Although not an issue today, remember fire inspection reports are required to be sent to the consultant within 7 business days of the inspection being completed. If the fire inspection report is not sent to the consultant within 7 business days a violation will be cited at the next monitoring visit. • Stay updated with changes and new rule updates by visiting DCDEE new website at http://ncchildcare.nc.gov/general/home.asp. • When reviewing Staff Files, Children’s Files, and Program Records utilize the Staff Files Checklist, Children’s File Checklist, Volunteer Files Checklist, and the Program Records File Checklist to ensure that you are maintaining compliance with all of the files that are being maintained and that all of the documents within those files are current, accurate and relevant. These forms should be used annually to review files and can be found on the DCDEE website under provider documents. Due to all violations that were cited during today’s visit being corrected during the visit, there is no compliance letter due to be sent to me. You may contact me by phone at (980) 434-3877 or by email at meria.wilder@dhhs.nc.gov or Erin Pickard, Licensing Supervisor, by email at erin.pickard@dhhs.nc.gov, if you have questions. At the end of today’s visit a copy of your visit summary was printed, signed, and left with you for you to print and save for your records. Thank you for your time and assistance today! 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: ABERNETHY MEMORIAL CHILD DEVELOPMENT CENTER Facility ID: 1855074 Consultant: MERIA WILDER Operation Type: Center Case Number: Visit Date: 4/18/2024 Number Present: 87 Completed Date: 4/18/2024 Age: From 0 To 5 Total Minutes: 285 Time In: 11:00 AM Time Out: 03:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Rated License Assessment Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for applicable child care requirements during a rated license visit. You, Georgianna Queenie, Administrator, assisted me with today’s visit. Prior to today’s visit your business Abernethy Child Development Center was checked on the North Carolina Secretary of State website and was listed as current and active. Prior to today’s visit your compliance history score was 84%. Your last annual compliance visit was conducted on December 13, 2023. Your program operates with a five-star rated license that was issued on March 17, 2021, and earned 7 points in program standards, 5 points in education standards and 1 quality point. Your program operates with the following restrictions: daytime care only and meets enhanced ratios. The following required postings were prominently displayed at the entrance to the facility: star rated license, sanitation placard, Emergency Medical Care Plan, Emergency Phone Numbers, NC Summary of Child Care Law, and tobacco free signage. Playground inspections, emergency drills, fire inspection reports, fire drills and sanitation reports were monitored. Incident report logs were monitored. Sign in/sign out sheets and daily attendance records were completed and current. You stated that you do not provide screen time. Staff child ratios, appropriate group sizes, adequate supervision, appropriate discipline, and adequate/approved spaces were being used. Children were served a hamburger with cheese on a bun, potato fries, pineapples and 1% unflavored white milk for lunch today. Children were being cared for in a nurturing way. Health and safety standards were monitored. Toys and materials were of sufficient quantity and were observed to be in good repair. Children participated in transitioning from outside play, toileting routines, and rest time. Your outdoor playground was monitored. I monitored 16 existing staff files for criminal background qualification letters, First Aid, CPR, Recognizing and Responding to Suspicions of Child Maltreatment, BSAC, IT’S SIDS and special trainings, and 2 new staff files. No children’s records were monitored during today’s visit. All medications and their permission to administer forms were monitored. Rated License Information: You stated that you would like to have the ERS assessment completed prior to your cohort year. You sent me your application for Assessment for a Two Component Star Rated License, Rated License Assessment Request Review Form, Quality Point Form, and your Staff Education Worksheets by email prior to today’s visit. Today we discussed the rated license for your facility. We discussed the staff education of your current employees and was reviewed with you. Program Standards: The facility will earn 2 points in Program Standards for meeting requirements in Child Care Rule .2806 and meeting enhanced ratios. Education Standards: Today we discussed education for your current staff members. We discussed that new staff members will need to create a WORKS account and send in official transcripts to the Workforce Unit for evaluation. Education points will be determined upon receipt of evaluation results from the workforce unit. Quality Point: The facility has earned 1 quality point by having operational policies. Total points for a Star Rated License will be determined upon receipt of evaluation results from the Workforce Unit. During today’s visit I informed you that I will request the ERS by April 30, 2023. The following violations were cited during today’s visit: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. The playground used by toddlers had 1 broken lawn mower, 1 basketball goal net hanging from a little tykes basketball goal and 1 bubble bee riding toy had worn materials that were not in good repair. G.S. 110-91(6); .0601(b) 1879 Prescribed medicines, that are pharmaceutical samples, was not stored in the manufacturers original packaging, was not labeled with the child's name, and/or written instructions did not include the required information. There were 9 medication permission to administer forms that did not contain all of the required information. 10A NCAC 09 .0803(2)(b)(i-v) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. There were 2 medication permission to administer forms that provide standing orders to administer that were expired. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Technical Assistance: • There were 9 medication permission to administer forms that did not contain all of the required information. As discussed, be sure to review all medication permission to administer forms in detail to ensure that all required items have been completed and no items are left blank and if any items do not apply be sure to label that line as “NA” or not applicable. This item was corrected during the visit. • There were 2 medication permission to administer forms that provide standing orders to administer that were expired. As discussed, permission to administer forms for over-the-counter medications that provide standing orders for up to 12 months and should be updated prior to the expiration of the current form. I recommend that medications and their permission to administer forms be monitored routinely to ensure that all forms and medications remain current. These items were removed by the administrator and corrected during the visit. • The playground used by toddlers had 1 broken lawn mower, 1 basketball goal net hanging from a little tykes basketball goal and 1 bubble bee riding toy had worn materials that were not in good repair. As discussed, all toys, materials and furnishings are to be kept clean, and free of worn and broken materials. I recommend when completing outdoor playground inspections and when noticed, all items that are not in good repair be removed from the playground. These items were removed from the playground and corrected during the visit. Child care facilities must comply with all state laws, federal laws and local ordinances that pertain to child health, safety, and welfare of children (GS110-91 – Mandatory standards for a license). Failure to comply may lead to an administrative action (General statue 110-102-2- Administrative penalties). You must maintain at least 75% Compliance History for each 18-month period as required by GS110-90(4)(c). Please note any violations cited during future visits may negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation: All violations cited during today’s visit must be corrected immediately. • Your program is in cohort 1 for the rated license reassessment. Your program’s planning year will be from July 1, 2023, to June 30, 2024. Your program’s reassessment year will be 2024 to 2025 and the month of your reassessment will be the month that your current rated license expires. As you plan for the reassessment of the rated license, please be sure that all staff has their most recent education updated and verified in WORKS and that you are in touch with your local Partnership and Resource and Referral agencies to provide technical assistance and help you prepare for reassessment. • Although not an issue today, remember fire inspection reports are required to be sent to the consultant within 7 business days of the inspection being completed. If the fire inspection report is not sent to the consultant within 7 business days a violation will be cited at the next monitoring visit. • Stay updated with changes and new rule updates by visiting DCDEE new website at http://ncchildcare.nc.gov/general/home.asp. • When reviewing Staff Files, Children’s Files, and Program Records utilize the Staff Files Checklist, Children’s File Checklist, Volunteer Files Checklist, and the Program Records File Checklist to ensure that you are maintaining compliance with all of the files that are being maintained and that all of the documents within those files are current, accurate and relevant. These forms should be used annually to review files and can be found on the DCDEE website under provider documents. Due to all violations that were cited during today’s visit being corrected during the visit, there is no compliance letter due to be sent to me. You may contact me by phone at (980) 434-3877 or by email at meria.wilder@dhhs.nc.gov or Erin Pickard, Licensing Supervisor, by email at erin.pickard@dhhs.nc.gov, if you have questions. At the end of today’s visit a copy of your visit summary was printed, signed, and left with you for you to print and save for your records. Thank you for your time and assistance today! If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS110-90 · Violation

Name of Operation: ABERNETHY MEMORIAL CHILD DEVELOPMENT CENTER Facility ID: 1855074 Consultant: MERIA WILDER Operation Type: Center Case Number: Visit Date: 4/18/2024 Number Present: 87 Completed Date: 4/18/2024 Age: From 0 To 5 Total Minutes: 285 Time In: 11:00 AM Time Out: 03:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Rated License Assessment Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for applicable child care requirements during a rated license visit. You, Georgianna Queenie, Administrator, assisted me with today’s visit. Prior to today’s visit your business Abernethy Child Development Center was checked on the North Carolina Secretary of State website and was listed as current and active. Prior to today’s visit your compliance history score was 84%. Your last annual compliance visit was conducted on December 13, 2023. Your program operates with a five-star rated license that was issued on March 17, 2021, and earned 7 points in program standards, 5 points in education standards and 1 quality point. Your program operates with the following restrictions: daytime care only and meets enhanced ratios. The following required postings were prominently displayed at the entrance to the facility: star rated license, sanitation placard, Emergency Medical Care Plan, Emergency Phone Numbers, NC Summary of Child Care Law, and tobacco free signage. Playground inspections, emergency drills, fire inspection reports, fire drills and sanitation reports were monitored. Incident report logs were monitored. Sign in/sign out sheets and daily attendance records were completed and current. You stated that you do not provide screen time. Staff child ratios, appropriate group sizes, adequate supervision, appropriate discipline, and adequate/approved spaces were being used. Children were served a hamburger with cheese on a bun, potato fries, pineapples and 1% unflavored white milk for lunch today. Children were being cared for in a nurturing way. Health and safety standards were monitored. Toys and materials were of sufficient quantity and were observed to be in good repair. Children participated in transitioning from outside play, toileting routines, and rest time. Your outdoor playground was monitored. I monitored 16 existing staff files for criminal background qualification letters, First Aid, CPR, Recognizing and Responding to Suspicions of Child Maltreatment, BSAC, IT’S SIDS and special trainings, and 2 new staff files. No children’s records were monitored during today’s visit. All medications and their permission to administer forms were monitored. Rated License Information: You stated that you would like to have the ERS assessment completed prior to your cohort year. You sent me your application for Assessment for a Two Component Star Rated License, Rated License Assessment Request Review Form, Quality Point Form, and your Staff Education Worksheets by email prior to today’s visit. Today we discussed the rated license for your facility. We discussed the staff education of your current employees and was reviewed with you. Program Standards: The facility will earn 2 points in Program Standards for meeting requirements in Child Care Rule .2806 and meeting enhanced ratios. Education Standards: Today we discussed education for your current staff members. We discussed that new staff members will need to create a WORKS account and send in official transcripts to the Workforce Unit for evaluation. Education points will be determined upon receipt of evaluation results from the workforce unit. Quality Point: The facility has earned 1 quality point by having operational policies. Total points for a Star Rated License will be determined upon receipt of evaluation results from the Workforce Unit. During today’s visit I informed you that I will request the ERS by April 30, 2023. The following violations were cited during today’s visit: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. The playground used by toddlers had 1 broken lawn mower, 1 basketball goal net hanging from a little tykes basketball goal and 1 bubble bee riding toy had worn materials that were not in good repair. G.S. 110-91(6); .0601(b) 1879 Prescribed medicines, that are pharmaceutical samples, was not stored in the manufacturers original packaging, was not labeled with the child's name, and/or written instructions did not include the required information. There were 9 medication permission to administer forms that did not contain all of the required information. 10A NCAC 09 .0803(2)(b)(i-v) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. There were 2 medication permission to administer forms that provide standing orders to administer that were expired. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Technical Assistance: • There were 9 medication permission to administer forms that did not contain all of the required information. As discussed, be sure to review all medication permission to administer forms in detail to ensure that all required items have been completed and no items are left blank and if any items do not apply be sure to label that line as “NA” or not applicable. This item was corrected during the visit. • There were 2 medication permission to administer forms that provide standing orders to administer that were expired. As discussed, permission to administer forms for over-the-counter medications that provide standing orders for up to 12 months and should be updated prior to the expiration of the current form. I recommend that medications and their permission to administer forms be monitored routinely to ensure that all forms and medications remain current. These items were removed by the administrator and corrected during the visit. • The playground used by toddlers had 1 broken lawn mower, 1 basketball goal net hanging from a little tykes basketball goal and 1 bubble bee riding toy had worn materials that were not in good repair. As discussed, all toys, materials and furnishings are to be kept clean, and free of worn and broken materials. I recommend when completing outdoor playground inspections and when noticed, all items that are not in good repair be removed from the playground. These items were removed from the playground and corrected during the visit. Child care facilities must comply with all state laws, federal laws and local ordinances that pertain to child health, safety, and welfare of children (GS110-91 – Mandatory standards for a license). Failure to comply may lead to an administrative action (General statue 110-102-2- Administrative penalties). You must maintain at least 75% Compliance History for each 18-month period as required by GS110-90(4)(c). Please note any violations cited during future visits may negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation: All violations cited during today’s visit must be corrected immediately. • Your program is in cohort 1 for the rated license reassessment. Your program’s planning year will be from July 1, 2023, to June 30, 2024. Your program’s reassessment year will be 2024 to 2025 and the month of your reassessment will be the month that your current rated license expires. As you plan for the reassessment of the rated license, please be sure that all staff has their most recent education updated and verified in WORKS and that you are in touch with your local Partnership and Resource and Referral agencies to provide technical assistance and help you prepare for reassessment. • Although not an issue today, remember fire inspection reports are required to be sent to the consultant within 7 business days of the inspection being completed. If the fire inspection report is not sent to the consultant within 7 business days a violation will be cited at the next monitoring visit. • Stay updated with changes and new rule updates by visiting DCDEE new website at http://ncchildcare.nc.gov/general/home.asp. • When reviewing Staff Files, Children’s Files, and Program Records utilize the Staff Files Checklist, Children’s File Checklist, Volunteer Files Checklist, and the Program Records File Checklist to ensure that you are maintaining compliance with all of the files that are being maintained and that all of the documents within those files are current, accurate and relevant. These forms should be used annually to review files and can be found on the DCDEE website under provider documents. Due to all violations that were cited during today’s visit being corrected during the visit, there is no compliance letter due to be sent to me. You may contact me by phone at (980) 434-3877 or by email at meria.wilder@dhhs.nc.gov or Erin Pickard, Licensing Supervisor, by email at erin.pickard@dhhs.nc.gov, if you have questions. At the end of today’s visit a copy of your visit summary was printed, signed, and left with you for you to print and save for your records. Thank you for your time and assistance today! If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS110-91 · Violation

Name of Operation: ABERNETHY MEMORIAL CHILD DEVELOPMENT CENTER Facility ID: 1855074 Consultant: MERIA WILDER Operation Type: Center Case Number: Visit Date: 4/18/2024 Number Present: 87 Completed Date: 4/18/2024 Age: From 0 To 5 Total Minutes: 285 Time In: 11:00 AM Time Out: 03:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Rated License Assessment Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for applicable child care requirements during a rated license visit. You, Georgianna Queenie, Administrator, assisted me with today’s visit. Prior to today’s visit your business Abernethy Child Development Center was checked on the North Carolina Secretary of State website and was listed as current and active. Prior to today’s visit your compliance history score was 84%. Your last annual compliance visit was conducted on December 13, 2023. Your program operates with a five-star rated license that was issued on March 17, 2021, and earned 7 points in program standards, 5 points in education standards and 1 quality point. Your program operates with the following restrictions: daytime care only and meets enhanced ratios. The following required postings were prominently displayed at the entrance to the facility: star rated license, sanitation placard, Emergency Medical Care Plan, Emergency Phone Numbers, NC Summary of Child Care Law, and tobacco free signage. Playground inspections, emergency drills, fire inspection reports, fire drills and sanitation reports were monitored. Incident report logs were monitored. Sign in/sign out sheets and daily attendance records were completed and current. You stated that you do not provide screen time. Staff child ratios, appropriate group sizes, adequate supervision, appropriate discipline, and adequate/approved spaces were being used. Children were served a hamburger with cheese on a bun, potato fries, pineapples and 1% unflavored white milk for lunch today. Children were being cared for in a nurturing way. Health and safety standards were monitored. Toys and materials were of sufficient quantity and were observed to be in good repair. Children participated in transitioning from outside play, toileting routines, and rest time. Your outdoor playground was monitored. I monitored 16 existing staff files for criminal background qualification letters, First Aid, CPR, Recognizing and Responding to Suspicions of Child Maltreatment, BSAC, IT’S SIDS and special trainings, and 2 new staff files. No children’s records were monitored during today’s visit. All medications and their permission to administer forms were monitored. Rated License Information: You stated that you would like to have the ERS assessment completed prior to your cohort year. You sent me your application for Assessment for a Two Component Star Rated License, Rated License Assessment Request Review Form, Quality Point Form, and your Staff Education Worksheets by email prior to today’s visit. Today we discussed the rated license for your facility. We discussed the staff education of your current employees and was reviewed with you. Program Standards: The facility will earn 2 points in Program Standards for meeting requirements in Child Care Rule .2806 and meeting enhanced ratios. Education Standards: Today we discussed education for your current staff members. We discussed that new staff members will need to create a WORKS account and send in official transcripts to the Workforce Unit for evaluation. Education points will be determined upon receipt of evaluation results from the workforce unit. Quality Point: The facility has earned 1 quality point by having operational policies. Total points for a Star Rated License will be determined upon receipt of evaluation results from the Workforce Unit. During today’s visit I informed you that I will request the ERS by April 30, 2023. The following violations were cited during today’s visit: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. The playground used by toddlers had 1 broken lawn mower, 1 basketball goal net hanging from a little tykes basketball goal and 1 bubble bee riding toy had worn materials that were not in good repair. G.S. 110-91(6); .0601(b) 1879 Prescribed medicines, that are pharmaceutical samples, was not stored in the manufacturers original packaging, was not labeled with the child's name, and/or written instructions did not include the required information. There were 9 medication permission to administer forms that did not contain all of the required information. 10A NCAC 09 .0803(2)(b)(i-v) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. There were 2 medication permission to administer forms that provide standing orders to administer that were expired. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Technical Assistance: • There were 9 medication permission to administer forms that did not contain all of the required information. As discussed, be sure to review all medication permission to administer forms in detail to ensure that all required items have been completed and no items are left blank and if any items do not apply be sure to label that line as “NA” or not applicable. This item was corrected during the visit. • There were 2 medication permission to administer forms that provide standing orders to administer that were expired. As discussed, permission to administer forms for over-the-counter medications that provide standing orders for up to 12 months and should be updated prior to the expiration of the current form. I recommend that medications and their permission to administer forms be monitored routinely to ensure that all forms and medications remain current. These items were removed by the administrator and corrected during the visit. • The playground used by toddlers had 1 broken lawn mower, 1 basketball goal net hanging from a little tykes basketball goal and 1 bubble bee riding toy had worn materials that were not in good repair. As discussed, all toys, materials and furnishings are to be kept clean, and free of worn and broken materials. I recommend when completing outdoor playground inspections and when noticed, all items that are not in good repair be removed from the playground. These items were removed from the playground and corrected during the visit. Child care facilities must comply with all state laws, federal laws and local ordinances that pertain to child health, safety, and welfare of children (GS110-91 – Mandatory standards for a license). Failure to comply may lead to an administrative action (General statue 110-102-2- Administrative penalties). You must maintain at least 75% Compliance History for each 18-month period as required by GS110-90(4)(c). Please note any violations cited during future visits may negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation: All violations cited during today’s visit must be corrected immediately. • Your program is in cohort 1 for the rated license reassessment. Your program’s planning year will be from July 1, 2023, to June 30, 2024. Your program’s reassessment year will be 2024 to 2025 and the month of your reassessment will be the month that your current rated license expires. As you plan for the reassessment of the rated license, please be sure that all staff has their most recent education updated and verified in WORKS and that you are in touch with your local Partnership and Resource and Referral agencies to provide technical assistance and help you prepare for reassessment. • Although not an issue today, remember fire inspection reports are required to be sent to the consultant within 7 business days of the inspection being completed. If the fire inspection report is not sent to the consultant within 7 business days a violation will be cited at the next monitoring visit. • Stay updated with changes and new rule updates by visiting DCDEE new website at http://ncchildcare.nc.gov/general/home.asp. • When reviewing Staff Files, Children’s Files, and Program Records utilize the Staff Files Checklist, Children’s File Checklist, Volunteer Files Checklist, and the Program Records File Checklist to ensure that you are maintaining compliance with all of the files that are being maintained and that all of the documents within those files are current, accurate and relevant. These forms should be used annually to review files and can be found on the DCDEE website under provider documents. Due to all violations that were cited during today’s visit being corrected during the visit, there is no compliance letter due to be sent to me. You may contact me by phone at (980) 434-3877 or by email at meria.wilder@dhhs.nc.gov or Erin Pickard, Licensing Supervisor, by email at erin.pickard@dhhs.nc.gov, if you have questions. At the end of today’s visit a copy of your visit summary was printed, signed, and left with you for you to print and save for your records. Thank you for your time and assistance today! 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: ABERNETHY MEMORIAL CHILD DEVELOPMENT CENTER Facility ID: 1855074 Consultant: MERIA WILDER Operation Type: Center Case Number: Visit Date: 12/13/2023 Number Present: 75 Completed Date: 12/13/2023 Age: From 0 To 5 Total Minutes: 370 Time In: 09:20 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable child care requirements during an annual compliance monitoring visit. You, Georgianna Quinney, Director, and Amanda Cox, Assistant Director, assisted me, Meria Wilder, Child Care Consultant, with today’s visit. Your program operates with a five-star license that was issued on March 17, 2021. Your program received 7 points in staff education, 5 points in program standards and 1 quality point and operates with the following restrictions: daytime care and meets enhanced ratios. The following was prominently posted at the entrance to the facility: NC Summary of Child Care Law, First Aid information sheet, emergency phone numbers, safe arrival and departure procedures, tobacco free signage, emergency medical care plan, and sanitation inspection. I observed your playground inspections to be current as of November 30, 2023, fire inspection to be current as of February 16, 2023, lockdown emergency drill to be current as of November 28, 2023, and fire drills to be current as of November 30, 2023. The NC Secretary of States website was checked prior to today’s visit and Abernethy Memorial Child Development Center was listed as current-active. Prior to today’s visit you sent me your staff and training worksheet, vehicle registration and insurance cards as well as fire and sanitation inspection forms. I monitored the following transportation vehicles: 1995 Ford 15 passenger van and observed the registration to be current with an expiration date of 4/30/2023. I observed your vehicle inspection for this vehicle to be due 4/30/2023. I monitored the 2018 Ford 15 passenger van and observed the registration to be current with an expiration date of 6/30/2023. I observed the vehicle inspection for this vehicle to be due 6/30/2023. I monitored the insurance cards for both transportation vehicles and found them to be current effective 6/5/2023 – 6/5/2024. All indoor and outdoor spaces were monitored today. I monitored your incident log and found incident reports to be logged with children’s records. I monitored your EPR plan and found it to be printed and current. Today’s menu was posted, and current and consists of whole grain baked ziti with beef and tomato sauce, salad, corn, roll and milk. I observed the following meal to be served to children. I monitored 4 emergency medications, 36 diaper creams and a total of 41 medications and their permissions to administer forms. I monitored your infant playground, toddler playground and your preschool playground during today’s visit. I observed children to be cared for in a nurturing way. I observed daily sign in/out sheets to be current with 75 children signed in today. I observed daily attendance records to be current. I observed a daily schedule to be posted and followed in each classroom. I observed Allergies listings to be posted in each classroom. I observed daily activity plans to be current and posted in each classroom. I observed classroom furnishings to be clean and in good repair. I observed toys to be of sufficient quantity, developmentally appropriate and in good repair. I observed supervision, adequate and approved space, staff/child ratio, and group sizes to be in compliance. You stated that your program does not offer screen time. I monitored a sampling of children’s records today. I monitored 5 new staff files during today’s visit and a selection of existing staff files during today’s visit. During today's visit the following violations were cited: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. There was a plastic toy box used to store toys on the playground used by toddlers, that was broken with sharp and jagged edges. G.S. 110-91(6); .0601(b) 807 A safe indoor and outdoor environment was not provided for the children. On the playground used by infants there was a bucket of toys that had standing water in it. 10A NCAC 09 .0601(a) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. During today’s visit 2 staff members (with hire dates 7/27/09 and 7/14/23) had medical forms that were stored in the staff member’s personnel and were not stored in a separate location. .0701(d) Technical Assistance: • Staff health and medical information should be stored in a separate file/location and not with the staff member’s personnel file. During today’s visit 2 staff members (with hire dates 7/27/09 and 7/14/23) had health questionnaire forms that were stored in the staff member’s personnel and were not stored in a separate location. I recommend that all staff members’ health and medical information be stored in a separate location in individual files for each staff member. • All equipment and furnishing should be kept in good repair. On the toddler playground there was a plastic toy box used to store toys that were broken with sharp and jagged edges. On the playground used by infants there was a bucket with toys stored inside that had standing water in it. I recommend when completing the playground inspection forms that all outdoor furnishings be inspected for safety and when found to not be safe such items be removed from the playground including broken, frayed items and standing water. Due to all violations cited today being corrected during the visit no compliance letter will be due. Child care programs are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past eighteen (18) months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. Consultation: • As of September 2023, the Summary of NC Child Care Law was updated and available on the DCDEE website. Please print this form to post in your classroom with your required postings and give the updated information to parents and have them sign and date that they have received the updated document and place each signed acknowledgement in each child’s file. • Your program is in cohort 1 for the rated license reassessment. Your program’s planning year will be from July 1, 2023, to June 30, 2024. Your program’s reassessment year will be 2024 to 2025 and the month of your reassessment will be the month that your current rated license expires. As you plan for the reassessment of the rated license, please be sure that all staff has their most recent education updated and verified in WORKS and that you are in touch with your local Partnership and Resource and Referral agencies to provide technical assistance and help you prepare for reassessment. • As discussed, please use the Staff File Checklist and Children’s Records Checklist to ensure that files contain all required documents and that training and documentation is completed within the specified timeframe to ensure compliance with child care rules. Thank you for your time today. If I can be of assistance in the future, please feel free to contact me at (980) 434-3877 or email meria.wilder@dhhs.nc.gov or Erin Pickard, Supervisor, at erin.pickard@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: ABERNETHY MEMORIAL CHILD DEVELOPMENT CENTER Facility ID: 1855074 Consultant: MERIA WILDER Operation Type: Center Case Number: Visit Date: 12/13/2023 Number Present: 75 Completed Date: 12/13/2023 Age: From 0 To 5 Total Minutes: 370 Time In: 09:20 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable child care requirements during an annual compliance monitoring visit. You, Georgianna Quinney, Director, and Amanda Cox, Assistant Director, assisted me, Meria Wilder, Child Care Consultant, with today’s visit. Your program operates with a five-star license that was issued on March 17, 2021. Your program received 7 points in staff education, 5 points in program standards and 1 quality point and operates with the following restrictions: daytime care and meets enhanced ratios. The following was prominently posted at the entrance to the facility: NC Summary of Child Care Law, First Aid information sheet, emergency phone numbers, safe arrival and departure procedures, tobacco free signage, emergency medical care plan, and sanitation inspection. I observed your playground inspections to be current as of November 30, 2023, fire inspection to be current as of February 16, 2023, lockdown emergency drill to be current as of November 28, 2023, and fire drills to be current as of November 30, 2023. The NC Secretary of States website was checked prior to today’s visit and Abernethy Memorial Child Development Center was listed as current-active. Prior to today’s visit you sent me your staff and training worksheet, vehicle registration and insurance cards as well as fire and sanitation inspection forms. I monitored the following transportation vehicles: 1995 Ford 15 passenger van and observed the registration to be current with an expiration date of 4/30/2023. I observed your vehicle inspection for this vehicle to be due 4/30/2023. I monitored the 2018 Ford 15 passenger van and observed the registration to be current with an expiration date of 6/30/2023. I observed the vehicle inspection for this vehicle to be due 6/30/2023. I monitored the insurance cards for both transportation vehicles and found them to be current effective 6/5/2023 – 6/5/2024. All indoor and outdoor spaces were monitored today. I monitored your incident log and found incident reports to be logged with children’s records. I monitored your EPR plan and found it to be printed and current. Today’s menu was posted, and current and consists of whole grain baked ziti with beef and tomato sauce, salad, corn, roll and milk. I observed the following meal to be served to children. I monitored 4 emergency medications, 36 diaper creams and a total of 41 medications and their permissions to administer forms. I monitored your infant playground, toddler playground and your preschool playground during today’s visit. I observed children to be cared for in a nurturing way. I observed daily sign in/out sheets to be current with 75 children signed in today. I observed daily attendance records to be current. I observed a daily schedule to be posted and followed in each classroom. I observed Allergies listings to be posted in each classroom. I observed daily activity plans to be current and posted in each classroom. I observed classroom furnishings to be clean and in good repair. I observed toys to be of sufficient quantity, developmentally appropriate and in good repair. I observed supervision, adequate and approved space, staff/child ratio, and group sizes to be in compliance. You stated that your program does not offer screen time. I monitored a sampling of children’s records today. I monitored 5 new staff files during today’s visit and a selection of existing staff files during today’s visit. During today's visit the following violations were cited: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. There was a plastic toy box used to store toys on the playground used by toddlers, that was broken with sharp and jagged edges. G.S. 110-91(6); .0601(b) 807 A safe indoor and outdoor environment was not provided for the children. On the playground used by infants there was a bucket of toys that had standing water in it. 10A NCAC 09 .0601(a) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. During today’s visit 2 staff members (with hire dates 7/27/09 and 7/14/23) had medical forms that were stored in the staff member’s personnel and were not stored in a separate location. .0701(d) Technical Assistance: • Staff health and medical information should be stored in a separate file/location and not with the staff member’s personnel file. During today’s visit 2 staff members (with hire dates 7/27/09 and 7/14/23) had health questionnaire forms that were stored in the staff member’s personnel and were not stored in a separate location. I recommend that all staff members’ health and medical information be stored in a separate location in individual files for each staff member. • All equipment and furnishing should be kept in good repair. On the toddler playground there was a plastic toy box used to store toys that were broken with sharp and jagged edges. On the playground used by infants there was a bucket with toys stored inside that had standing water in it. I recommend when completing the playground inspection forms that all outdoor furnishings be inspected for safety and when found to not be safe such items be removed from the playground including broken, frayed items and standing water. Due to all violations cited today being corrected during the visit no compliance letter will be due. Child care programs are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past eighteen (18) months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. Consultation: • As of September 2023, the Summary of NC Child Care Law was updated and available on the DCDEE website. Please print this form to post in your classroom with your required postings and give the updated information to parents and have them sign and date that they have received the updated document and place each signed acknowledgement in each child’s file. • Your program is in cohort 1 for the rated license reassessment. Your program’s planning year will be from July 1, 2023, to June 30, 2024. Your program’s reassessment year will be 2024 to 2025 and the month of your reassessment will be the month that your current rated license expires. As you plan for the reassessment of the rated license, please be sure that all staff has their most recent education updated and verified in WORKS and that you are in touch with your local Partnership and Resource and Referral agencies to provide technical assistance and help you prepare for reassessment. • As discussed, please use the Staff File Checklist and Children’s Records Checklist to ensure that files contain all required documents and that training and documentation is completed within the specified timeframe to ensure compliance with child care rules. Thank you for your time today. If I can be of assistance in the future, please feel free to contact me at (980) 434-3877 or email meria.wilder@dhhs.nc.gov or Erin Pickard, Supervisor, at erin.pickard@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times