10A NCAC 09 .0604 · Violation

Name of Operation: Old Main STREAM PreKindergarten Facility ID: 78000485 Consultant: LEISA A. BENSON Operation Type: Center Case Number: Visit Date: 12/3/2025 Number Present: 9 Completed Date: 12/3/2025 Age: From 3 To 5 Total Minutes: 210 Time In: 09:00 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements pertinent to the first Temporary Time Period Visit. This program currently operates with a temporary license effective October 27, 2025 to April 27, 2026. Applicable childcare requirements were discussed with you, Elizabeth Lowry, Administrator. During the visit, children were observed engaging in free play and routine activities. The teacher and children demonstrated appropriate interactions, and adequate supervision was maintained. The indoor and outdoor areas approved for child care were also monitored during the visit. The following were also observed during today’s visit: staff/child ratios; storage of hazardous products; adequate/approved space; posted license and permit restrictions. During the visit two (2) staff files which included the administrator’s, file and two (2) children’s files were reviewed. In addition, the required center program records were also monitored. It is your responsibility to review all files to ensure they are complete and accurate. For lunch the children were served turkey with rice & gravy, mixed vegetables, peas, dinner roll, and milk. Overall attendance and enrollment were collected today. The attached space, capacity and enrollment worksheet reflects the enrollment and attendance information along with the staff that were present and caring for children today. At the completion of the visit, I reviewed the Visit Summary with you, and a computerized copy was also given to you for your records. Violation Number Comment Rule 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. Children were served potato chips for snack. 10A NCAC 09 .0901(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. A menu was not posted. This was corrected during the visit when a menu was posted. 10A NCAC 09 .0901(b) 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. One outlet was not covered during the visit. This was corrected during the visit when the outlet was covered. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Solid air freshener was stored in the bathroom used by children. This was corrected during the visit when it was removed and placed in locked storage. .2820(b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff's medical report was not on file prior to employment. This was corrected during the visit when it was observed that the staff's medical report was on file. 10A NCAC 09 .0701(a) 1894 At least one staff member was not present who had successfully completed First Aid and/or CPR training when children were in care. One staff member's CPR/FA training has expired. .1102(c-d) All violations cited must be corrected immediately. I must receive a signed and dated letter of compliance from you no later than December 17, 2025, stating that all violations have been corrected. You can email your compliance letter to: leisa.benson@dhhs.nc.gov. If you cannot meet the requirements by the above date, you must contact me with a purposed timeline of the corrections. In some cases, this timeline may be extended. If I don’t receive your compliance letter or you haven’t contacted me by December 17, 2025, a Follow-up Visit could be conducted and violations cited. If you state in the compliance letter that corrections have been made when they have not, this will be considered falsification of information. You are required to always maintain compliance with all applicable child care rules and regulations. NC GS 110-90(4)(d) requires all child care facilities to maintain a compliance history score of at least 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. Violations cited during this visit may negatively affect your compliance score. As of today, your compliance history is 88%. Your compliance history was reviewed with you, and you were also given a copy to keep for your records. You stated that there are two (2) school nurses on site at all times that have completed CPR/FA. You stated that they are available when needed. You stated that the nurses are never left alone with the children. I discussed with you that prior to ever being left alone with the children they must have a criminal record check on file. Rated License: Pathways to the Stars: The NC Quality Rating and Improvement System (QRIS) QRIS is a systemic approach to assess, improve, and communicate the level of quality in child care. It encourages programs to engage in continuous quality improvement and families may use the star rating to make informed decisions when choosing a child care facility. During the visit you were provided with information about the three (3) QRIS Pathways. It was discussed with you that you should begin to review the different pathways and choose the best pathway for your facility. You stated that after reviewing the different pathways you may consider going with Pathway 2. A new Pathways to the Stars Rules Roll Out module is now available in the DCDEE Moodle digital learning platform. To access the links in the application you can visit: the DCDEE website at: www.ncchildcare.nc.gov and click on the provider tab and then scroll down and click on the provider documents and forms and then click on the Application for Assessment for a Rated License for Centers. During the visit I also demonstrated how to access the QRI information and the application located on the DCDEE website: www.ncchildcare.nc.gov. Questions about QRIS Modernization (Reform) may be sent to DCDEE_QRIS@dhhs.nc.gov. I will process your star rated license using the education information that is in WORKS at that time. So, it is imperative that all staff education information has been processed through WORKS no later than May 2026. Failure to do so could effective your star rated license. Keep in mind that In order to be eligible for subsidy payments at the end of the temporary time period, the facility must transition to a three to five star rated license. Technical Assistance: The children were served potato chips for snack. I discussed with you that potato chips do not meet the nutritional requirements and should not be served as a creditable food component. Additionally, you requested clarification on the amount of fruit juice children can be served daily. I discussed with you that fruit beverages served to children must be limited to no more than six (6) ounces per serving per day in accordance with nutritional standards. For more information about the nutritional requirements in child care you can visit: Nutrition Standards for CACFP Meals and Snacks | Food and Nutrition Service You can visit the DCDEE website at www.ncchildcare.nc.gov for updated information, resources, and provider forms. Please contact me at 919-819-9348 or, email leisa.benson@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

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0901 · Violation

Name of Operation: Old Main STREAM PreKindergarten Facility ID: 78000485 Consultant: LEISA A. BENSON Operation Type: Center Case Number: Visit Date: 12/3/2025 Number Present: 9 Completed Date: 12/3/2025 Age: From 3 To 5 Total Minutes: 210 Time In: 09:00 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements pertinent to the first Temporary Time Period Visit. This program currently operates with a temporary license effective October 27, 2025 to April 27, 2026. Applicable childcare requirements were discussed with you, Elizabeth Lowry, Administrator. During the visit, children were observed engaging in free play and routine activities. The teacher and children demonstrated appropriate interactions, and adequate supervision was maintained. The indoor and outdoor areas approved for child care were also monitored during the visit. The following were also observed during today’s visit: staff/child ratios; storage of hazardous products; adequate/approved space; posted license and permit restrictions. During the visit two (2) staff files which included the administrator’s, file and two (2) children’s files were reviewed. In addition, the required center program records were also monitored. It is your responsibility to review all files to ensure they are complete and accurate. For lunch the children were served turkey with rice & gravy, mixed vegetables, peas, dinner roll, and milk. Overall attendance and enrollment were collected today. The attached space, capacity and enrollment worksheet reflects the enrollment and attendance information along with the staff that were present and caring for children today. At the completion of the visit, I reviewed the Visit Summary with you, and a computerized copy was also given to you for your records. Violation Number Comment Rule 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. Children were served potato chips for snack. 10A NCAC 09 .0901(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. A menu was not posted. This was corrected during the visit when a menu was posted. 10A NCAC 09 .0901(b) 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. One outlet was not covered during the visit. This was corrected during the visit when the outlet was covered. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Solid air freshener was stored in the bathroom used by children. This was corrected during the visit when it was removed and placed in locked storage. .2820(b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff's medical report was not on file prior to employment. This was corrected during the visit when it was observed that the staff's medical report was on file. 10A NCAC 09 .0701(a) 1894 At least one staff member was not present who had successfully completed First Aid and/or CPR training when children were in care. One staff member's CPR/FA training has expired. .1102(c-d) All violations cited must be corrected immediately. I must receive a signed and dated letter of compliance from you no later than December 17, 2025, stating that all violations have been corrected. You can email your compliance letter to: leisa.benson@dhhs.nc.gov. If you cannot meet the requirements by the above date, you must contact me with a purposed timeline of the corrections. In some cases, this timeline may be extended. If I don’t receive your compliance letter or you haven’t contacted me by December 17, 2025, a Follow-up Visit could be conducted and violations cited. If you state in the compliance letter that corrections have been made when they have not, this will be considered falsification of information. You are required to always maintain compliance with all applicable child care rules and regulations. NC GS 110-90(4)(d) requires all child care facilities to maintain a compliance history score of at least 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. Violations cited during this visit may negatively affect your compliance score. As of today, your compliance history is 88%. Your compliance history was reviewed with you, and you were also given a copy to keep for your records. You stated that there are two (2) school nurses on site at all times that have completed CPR/FA. You stated that they are available when needed. You stated that the nurses are never left alone with the children. I discussed with you that prior to ever being left alone with the children they must have a criminal record check on file. Rated License: Pathways to the Stars: The NC Quality Rating and Improvement System (QRIS) QRIS is a systemic approach to assess, improve, and communicate the level of quality in child care. It encourages programs to engage in continuous quality improvement and families may use the star rating to make informed decisions when choosing a child care facility. During the visit you were provided with information about the three (3) QRIS Pathways. It was discussed with you that you should begin to review the different pathways and choose the best pathway for your facility. You stated that after reviewing the different pathways you may consider going with Pathway 2. A new Pathways to the Stars Rules Roll Out module is now available in the DCDEE Moodle digital learning platform. To access the links in the application you can visit: the DCDEE website at: www.ncchildcare.nc.gov and click on the provider tab and then scroll down and click on the provider documents and forms and then click on the Application for Assessment for a Rated License for Centers. During the visit I also demonstrated how to access the QRI information and the application located on the DCDEE website: www.ncchildcare.nc.gov. Questions about QRIS Modernization (Reform) may be sent to DCDEE_QRIS@dhhs.nc.gov. I will process your star rated license using the education information that is in WORKS at that time. So, it is imperative that all staff education information has been processed through WORKS no later than May 2026. Failure to do so could effective your star rated license. Keep in mind that In order to be eligible for subsidy payments at the end of the temporary time period, the facility must transition to a three to five star rated license. Technical Assistance: The children were served potato chips for snack. I discussed with you that potato chips do not meet the nutritional requirements and should not be served as a creditable food component. Additionally, you requested clarification on the amount of fruit juice children can be served daily. I discussed with you that fruit beverages served to children must be limited to no more than six (6) ounces per serving per day in accordance with nutritional standards. For more information about the nutritional requirements in child care you can visit: Nutrition Standards for CACFP Meals and Snacks | Food and Nutrition Service You can visit the DCDEE website at www.ncchildcare.nc.gov for updated information, resources, and provider forms. Please contact me at 919-819-9348 or, email leisa.benson@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 .0701 · Violation

Name of Operation: Old Main STREAM PreKindergarten Facility ID: 78000485 Consultant: LEISA A. BENSON Operation Type: Center Case Number: Visit Date: 12/3/2025 Number Present: 9 Completed Date: 12/3/2025 Age: From 3 To 5 Total Minutes: 210 Time In: 09:00 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements pertinent to the first Temporary Time Period Visit. This program currently operates with a temporary license effective October 27, 2025 to April 27, 2026. Applicable childcare requirements were discussed with you, Elizabeth Lowry, Administrator. During the visit, children were observed engaging in free play and routine activities. The teacher and children demonstrated appropriate interactions, and adequate supervision was maintained. The indoor and outdoor areas approved for child care were also monitored during the visit. The following were also observed during today’s visit: staff/child ratios; storage of hazardous products; adequate/approved space; posted license and permit restrictions. During the visit two (2) staff files which included the administrator’s, file and two (2) children’s files were reviewed. In addition, the required center program records were also monitored. It is your responsibility to review all files to ensure they are complete and accurate. For lunch the children were served turkey with rice & gravy, mixed vegetables, peas, dinner roll, and milk. Overall attendance and enrollment were collected today. The attached space, capacity and enrollment worksheet reflects the enrollment and attendance information along with the staff that were present and caring for children today. At the completion of the visit, I reviewed the Visit Summary with you, and a computerized copy was also given to you for your records. Violation Number Comment Rule 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. Children were served potato chips for snack. 10A NCAC 09 .0901(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. A menu was not posted. This was corrected during the visit when a menu was posted. 10A NCAC 09 .0901(b) 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. One outlet was not covered during the visit. This was corrected during the visit when the outlet was covered. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Solid air freshener was stored in the bathroom used by children. This was corrected during the visit when it was removed and placed in locked storage. .2820(b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff's medical report was not on file prior to employment. This was corrected during the visit when it was observed that the staff's medical report was on file. 10A NCAC 09 .0701(a) 1894 At least one staff member was not present who had successfully completed First Aid and/or CPR training when children were in care. One staff member's CPR/FA training has expired. .1102(c-d) All violations cited must be corrected immediately. I must receive a signed and dated letter of compliance from you no later than December 17, 2025, stating that all violations have been corrected. You can email your compliance letter to: leisa.benson@dhhs.nc.gov. If you cannot meet the requirements by the above date, you must contact me with a purposed timeline of the corrections. In some cases, this timeline may be extended. If I don’t receive your compliance letter or you haven’t contacted me by December 17, 2025, a Follow-up Visit could be conducted and violations cited. If you state in the compliance letter that corrections have been made when they have not, this will be considered falsification of information. You are required to always maintain compliance with all applicable child care rules and regulations. NC GS 110-90(4)(d) requires all child care facilities to maintain a compliance history score of at least 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. Violations cited during this visit may negatively affect your compliance score. As of today, your compliance history is 88%. Your compliance history was reviewed with you, and you were also given a copy to keep for your records. You stated that there are two (2) school nurses on site at all times that have completed CPR/FA. You stated that they are available when needed. You stated that the nurses are never left alone with the children. I discussed with you that prior to ever being left alone with the children they must have a criminal record check on file. Rated License: Pathways to the Stars: The NC Quality Rating and Improvement System (QRIS) QRIS is a systemic approach to assess, improve, and communicate the level of quality in child care. It encourages programs to engage in continuous quality improvement and families may use the star rating to make informed decisions when choosing a child care facility. During the visit you were provided with information about the three (3) QRIS Pathways. It was discussed with you that you should begin to review the different pathways and choose the best pathway for your facility. You stated that after reviewing the different pathways you may consider going with Pathway 2. A new Pathways to the Stars Rules Roll Out module is now available in the DCDEE Moodle digital learning platform. To access the links in the application you can visit: the DCDEE website at: www.ncchildcare.nc.gov and click on the provider tab and then scroll down and click on the provider documents and forms and then click on the Application for Assessment for a Rated License for Centers. During the visit I also demonstrated how to access the QRI information and the application located on the DCDEE website: www.ncchildcare.nc.gov. Questions about QRIS Modernization (Reform) may be sent to DCDEE_QRIS@dhhs.nc.gov. I will process your star rated license using the education information that is in WORKS at that time. So, it is imperative that all staff education information has been processed through WORKS no later than May 2026. Failure to do so could effective your star rated license. Keep in mind that In order to be eligible for subsidy payments at the end of the temporary time period, the facility must transition to a three to five star rated license. Technical Assistance: The children were served potato chips for snack. I discussed with you that potato chips do not meet the nutritional requirements and should not be served as a creditable food component. Additionally, you requested clarification on the amount of fruit juice children can be served daily. I discussed with you that fruit beverages served to children must be limited to no more than six (6) ounces per serving per day in accordance with nutritional standards. For more information about the nutritional requirements in child care you can visit: Nutrition Standards for CACFP Meals and Snacks | Food and Nutrition Service You can visit the DCDEE website at www.ncchildcare.nc.gov for updated information, resources, and provider forms. Please contact me at 919-819-9348 or, email leisa.benson@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 .0901 · Violation

Name of Operation: Old Main STREAM PreKindergarten Facility ID: 78000485 Consultant: LEISA A. BENSON Operation Type: Center Case Number: Visit Date: 12/3/2025 Number Present: 9 Completed Date: 12/3/2025 Age: From 3 To 5 Total Minutes: 210 Time In: 09:00 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements pertinent to the first Temporary Time Period Visit. This program currently operates with a temporary license effective October 27, 2025 to April 27, 2026. Applicable childcare requirements were discussed with you, Elizabeth Lowry, Administrator. During the visit, children were observed engaging in free play and routine activities. The teacher and children demonstrated appropriate interactions, and adequate supervision was maintained. The indoor and outdoor areas approved for child care were also monitored during the visit. The following were also observed during today’s visit: staff/child ratios; storage of hazardous products; adequate/approved space; posted license and permit restrictions. During the visit two (2) staff files which included the administrator’s, file and two (2) children’s files were reviewed. In addition, the required center program records were also monitored. It is your responsibility to review all files to ensure they are complete and accurate. For lunch the children were served turkey with rice & gravy, mixed vegetables, peas, dinner roll, and milk. Overall attendance and enrollment were collected today. The attached space, capacity and enrollment worksheet reflects the enrollment and attendance information along with the staff that were present and caring for children today. At the completion of the visit, I reviewed the Visit Summary with you, and a computerized copy was also given to you for your records. Violation Number Comment Rule 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. Children were served potato chips for snack. 10A NCAC 09 .0901(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. A menu was not posted. This was corrected during the visit when a menu was posted. 10A NCAC 09 .0901(b) 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. One outlet was not covered during the visit. This was corrected during the visit when the outlet was covered. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Solid air freshener was stored in the bathroom used by children. This was corrected during the visit when it was removed and placed in locked storage. .2820(b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff's medical report was not on file prior to employment. This was corrected during the visit when it was observed that the staff's medical report was on file. 10A NCAC 09 .0701(a) 1894 At least one staff member was not present who had successfully completed First Aid and/or CPR training when children were in care. One staff member's CPR/FA training has expired. .1102(c-d) All violations cited must be corrected immediately. I must receive a signed and dated letter of compliance from you no later than December 17, 2025, stating that all violations have been corrected. You can email your compliance letter to: leisa.benson@dhhs.nc.gov. If you cannot meet the requirements by the above date, you must contact me with a purposed timeline of the corrections. In some cases, this timeline may be extended. If I don’t receive your compliance letter or you haven’t contacted me by December 17, 2025, a Follow-up Visit could be conducted and violations cited. If you state in the compliance letter that corrections have been made when they have not, this will be considered falsification of information. You are required to always maintain compliance with all applicable child care rules and regulations. NC GS 110-90(4)(d) requires all child care facilities to maintain a compliance history score of at least 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. Violations cited during this visit may negatively affect your compliance score. As of today, your compliance history is 88%. Your compliance history was reviewed with you, and you were also given a copy to keep for your records. You stated that there are two (2) school nurses on site at all times that have completed CPR/FA. You stated that they are available when needed. You stated that the nurses are never left alone with the children. I discussed with you that prior to ever being left alone with the children they must have a criminal record check on file. Rated License: Pathways to the Stars: The NC Quality Rating and Improvement System (QRIS) QRIS is a systemic approach to assess, improve, and communicate the level of quality in child care. It encourages programs to engage in continuous quality improvement and families may use the star rating to make informed decisions when choosing a child care facility. During the visit you were provided with information about the three (3) QRIS Pathways. It was discussed with you that you should begin to review the different pathways and choose the best pathway for your facility. You stated that after reviewing the different pathways you may consider going with Pathway 2. A new Pathways to the Stars Rules Roll Out module is now available in the DCDEE Moodle digital learning platform. To access the links in the application you can visit: the DCDEE website at: www.ncchildcare.nc.gov and click on the provider tab and then scroll down and click on the provider documents and forms and then click on the Application for Assessment for a Rated License for Centers. During the visit I also demonstrated how to access the QRI information and the application located on the DCDEE website: www.ncchildcare.nc.gov. Questions about QRIS Modernization (Reform) may be sent to DCDEE_QRIS@dhhs.nc.gov. I will process your star rated license using the education information that is in WORKS at that time. So, it is imperative that all staff education information has been processed through WORKS no later than May 2026. Failure to do so could effective your star rated license. Keep in mind that In order to be eligible for subsidy payments at the end of the temporary time period, the facility must transition to a three to five star rated license. Technical Assistance: The children were served potato chips for snack. I discussed with you that potato chips do not meet the nutritional requirements and should not be served as a creditable food component. Additionally, you requested clarification on the amount of fruit juice children can be served daily. I discussed with you that fruit beverages served to children must be limited to no more than six (6) ounces per serving per day in accordance with nutritional standards. For more information about the nutritional requirements in child care you can visit: Nutrition Standards for CACFP Meals and Snacks | Food and Nutrition Service You can visit the DCDEE website at www.ncchildcare.nc.gov for updated information, resources, and provider forms. Please contact me at 919-819-9348 or, email leisa.benson@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: Old Main STREAM PreKindergarten Facility ID: 78000485 Consultant: LEISA A. BENSON Operation Type: Center Case Number: Visit Date: 12/3/2025 Number Present: 9 Completed Date: 12/3/2025 Age: From 3 To 5 Total Minutes: 210 Time In: 09:00 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements pertinent to the first Temporary Time Period Visit. This program currently operates with a temporary license effective October 27, 2025 to April 27, 2026. Applicable childcare requirements were discussed with you, Elizabeth Lowry, Administrator. During the visit, children were observed engaging in free play and routine activities. The teacher and children demonstrated appropriate interactions, and adequate supervision was maintained. The indoor and outdoor areas approved for child care were also monitored during the visit. The following were also observed during today’s visit: staff/child ratios; storage of hazardous products; adequate/approved space; posted license and permit restrictions. During the visit two (2) staff files which included the administrator’s, file and two (2) children’s files were reviewed. In addition, the required center program records were also monitored. It is your responsibility to review all files to ensure they are complete and accurate. For lunch the children were served turkey with rice & gravy, mixed vegetables, peas, dinner roll, and milk. Overall attendance and enrollment were collected today. The attached space, capacity and enrollment worksheet reflects the enrollment and attendance information along with the staff that were present and caring for children today. At the completion of the visit, I reviewed the Visit Summary with you, and a computerized copy was also given to you for your records. Violation Number Comment Rule 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. Children were served potato chips for snack. 10A NCAC 09 .0901(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. A menu was not posted. This was corrected during the visit when a menu was posted. 10A NCAC 09 .0901(b) 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. One outlet was not covered during the visit. This was corrected during the visit when the outlet was covered. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Solid air freshener was stored in the bathroom used by children. This was corrected during the visit when it was removed and placed in locked storage. .2820(b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff's medical report was not on file prior to employment. This was corrected during the visit when it was observed that the staff's medical report was on file. 10A NCAC 09 .0701(a) 1894 At least one staff member was not present who had successfully completed First Aid and/or CPR training when children were in care. One staff member's CPR/FA training has expired. .1102(c-d) All violations cited must be corrected immediately. I must receive a signed and dated letter of compliance from you no later than December 17, 2025, stating that all violations have been corrected. You can email your compliance letter to: leisa.benson@dhhs.nc.gov. If you cannot meet the requirements by the above date, you must contact me with a purposed timeline of the corrections. In some cases, this timeline may be extended. If I don’t receive your compliance letter or you haven’t contacted me by December 17, 2025, a Follow-up Visit could be conducted and violations cited. If you state in the compliance letter that corrections have been made when they have not, this will be considered falsification of information. You are required to always maintain compliance with all applicable child care rules and regulations. NC GS 110-90(4)(d) requires all child care facilities to maintain a compliance history score of at least 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. Violations cited during this visit may negatively affect your compliance score. As of today, your compliance history is 88%. Your compliance history was reviewed with you, and you were also given a copy to keep for your records. You stated that there are two (2) school nurses on site at all times that have completed CPR/FA. You stated that they are available when needed. You stated that the nurses are never left alone with the children. I discussed with you that prior to ever being left alone with the children they must have a criminal record check on file. Rated License: Pathways to the Stars: The NC Quality Rating and Improvement System (QRIS) QRIS is a systemic approach to assess, improve, and communicate the level of quality in child care. It encourages programs to engage in continuous quality improvement and families may use the star rating to make informed decisions when choosing a child care facility. During the visit you were provided with information about the three (3) QRIS Pathways. It was discussed with you that you should begin to review the different pathways and choose the best pathway for your facility. You stated that after reviewing the different pathways you may consider going with Pathway 2. A new Pathways to the Stars Rules Roll Out module is now available in the DCDEE Moodle digital learning platform. To access the links in the application you can visit: the DCDEE website at: www.ncchildcare.nc.gov and click on the provider tab and then scroll down and click on the provider documents and forms and then click on the Application for Assessment for a Rated License for Centers. During the visit I also demonstrated how to access the QRI information and the application located on the DCDEE website: www.ncchildcare.nc.gov. Questions about QRIS Modernization (Reform) may be sent to DCDEE_QRIS@dhhs.nc.gov. I will process your star rated license using the education information that is in WORKS at that time. So, it is imperative that all staff education information has been processed through WORKS no later than May 2026. Failure to do so could effective your star rated license. Keep in mind that In order to be eligible for subsidy payments at the end of the temporary time period, the facility must transition to a three to five star rated license. Technical Assistance: The children were served potato chips for snack. I discussed with you that potato chips do not meet the nutritional requirements and should not be served as a creditable food component. Additionally, you requested clarification on the amount of fruit juice children can be served daily. I discussed with you that fruit beverages served to children must be limited to no more than six (6) ounces per serving per day in accordance with nutritional standards. For more information about the nutritional requirements in child care you can visit: Nutrition Standards for CACFP Meals and Snacks | Food and Nutrition Service You can visit the DCDEE website at www.ncchildcare.nc.gov for updated information, resources, and provider forms. Please contact me at 919-819-9348 or, email leisa.benson@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