10A NCAC 09 .0601 · Violation

Name of Operation: FUNDAMENTALS CHILD DEVELOPMENT CENTER Facility ID: 96000634 Consultant: JENNIFER H BYRD Operation Type: Center Case Number: 0425-096A Visit Date: 4/11/2025 Number Present: 51 Completed Date: 4/11/2025 Age: From 0 To 5 Total Minutes: 125 Time In: 12:10 PM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of this unannounced visit was to investigate allegations of violations of child care requirements at this child care facility. Candace Stevens, Administrator, accompanied me during a walk-through of the facility. During the visit, I discussed the allegations with Ms. Stevens and two additional staff members. Limited monitoring of child care requirements occurred during today’s visit. The following violations were observed and/or confirmed during today's visit: Violation Number Comment Rule 303 Children were not adequately supervised at all times. On April 8, 2025, staff members failed to provide adequate supervision when a two-year-old child exited the fenced area, unbeknownst to staff. .1801(a)(1-5) 807 A safe indoor and outdoor environment was not provided for the children. On April 8, 2025, staff members failed to provide a safe environment when, due to their lack of supervision, a two-year-old child exited the facility's fenced area. The staff member's failure to provide adequate supervision placed the child at risk of injury and/or harm. 10A NCAC 09 .0601(a) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. On March 19, 2025 a three-year-old child received medical care for an incident that occurred at the facility and staff failed to complete an incident report. .0802 (e) 1810 There was a substantiation of child maltreatment. Pursuant to its investigation, the Division has confirmed sufficient information to determine child maltreatment. GS 110-105.6(a) 1911 An incident report was not completed and mailed to a Division representative within seven days after the incident when medical treatment was required. On March 19, 2025 an incident occurred and, as a result, a three-year-old child received medical care. An incident report was not sent to the Division as required. .0802(f) All violations documented above must be corrected immediately. A written, dated, and signed letter of compliance must be submitted to me within one week, by April 18, 2025, describing how and when the violations were corrected and how compliance will be maintained in the future. The letter of compliance should be emailed or mailed to: Jennifer Byrd, Investigations Consultant 2201 Mail Service Center Raleigh, NC 27699-2200 Telephone-910-785-1486 Fax number- 919-715-1013 Email Jennifer.H.Byrd@dhhs.nc.gov or Melissa Loehr, Supervisor Melissa.Loehr@dhhs.nc.gov Thank you for your time. 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.

GS 110-105 · Violation

Name of Operation: FUNDAMENTALS CHILD DEVELOPMENT CENTER Facility ID: 96000634 Consultant: JENNIFER H BYRD Operation Type: Center Case Number: 0425-096A Visit Date: 4/11/2025 Number Present: 51 Completed Date: 4/11/2025 Age: From 0 To 5 Total Minutes: 125 Time In: 12:10 PM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of this unannounced visit was to investigate allegations of violations of child care requirements at this child care facility. Candace Stevens, Administrator, accompanied me during a walk-through of the facility. During the visit, I discussed the allegations with Ms. Stevens and two additional staff members. Limited monitoring of child care requirements occurred during today’s visit. The following violations were observed and/or confirmed during today's visit: Violation Number Comment Rule 303 Children were not adequately supervised at all times. On April 8, 2025, staff members failed to provide adequate supervision when a two-year-old child exited the fenced area, unbeknownst to staff. .1801(a)(1-5) 807 A safe indoor and outdoor environment was not provided for the children. On April 8, 2025, staff members failed to provide a safe environment when, due to their lack of supervision, a two-year-old child exited the facility's fenced area. The staff member's failure to provide adequate supervision placed the child at risk of injury and/or harm. 10A NCAC 09 .0601(a) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. On March 19, 2025 a three-year-old child received medical care for an incident that occurred at the facility and staff failed to complete an incident report. .0802 (e) 1810 There was a substantiation of child maltreatment. Pursuant to its investigation, the Division has confirmed sufficient information to determine child maltreatment. GS 110-105.6(a) 1911 An incident report was not completed and mailed to a Division representative within seven days after the incident when medical treatment was required. On March 19, 2025 an incident occurred and, as a result, a three-year-old child received medical care. An incident report was not sent to the Division as required. .0802(f) All violations documented above must be corrected immediately. A written, dated, and signed letter of compliance must be submitted to me within one week, by April 18, 2025, describing how and when the violations were corrected and how compliance will be maintained in the future. The letter of compliance should be emailed or mailed to: Jennifer Byrd, Investigations Consultant 2201 Mail Service Center Raleigh, NC 27699-2200 Telephone-910-785-1486 Fax number- 919-715-1013 Email Jennifer.H.Byrd@dhhs.nc.gov or Melissa Loehr, Supervisor Melissa.Loehr@dhhs.nc.gov Thank you for your time. 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: FUNDAMENTALS CHILD DEVELOPMENT CENTER Facility ID: 96000634 Consultant: ALLISON DAVIS Operation Type: Center Case Number: 0324-042A Visit Date: 3/13/2024 Number Present: 65 Completed Date: 3/13/2024 Age: From 0 To 11 Total Minutes: 210 Time In: 01:00 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of this unannounced visit was to investigate allegations of violations of child care requirements at this child care facility. Candance Stevens, Owner/Administrator, accompanied me during a walk-through of the facility. During the visit, I discussed the allegations with Ms. Stevens and additional staff members. Limited monitoring of child care requirements occurred during today’s visit. The following violation was confirmed during today’s visit. Violation Number Comment Rule 303 Children were not adequately supervised at all times. In March 2024 or April 2024, a staff member failed to provide adequate supervision on at least two occasions which resulted in one or more three-year-old children completely disrobing in the classroom and on the playground. .1801(a)(1-5) 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. On April 10, 2023, a staff member yelled at a three-year-old child while forcefully placing them in a chair and pushing the chair to the table. In December 2023, a different staff member used a harsh tone with a three-year-old child and roughly picked up and placed the child in a chair. The staff member left the child sitting without a developmentally appropriate activity. G.S. 110-91(10) 904 Child was handled roughly. On or about February 28, 2024, a staff member forcefully grabbed a three-year-old child off the lap of another staff member and carried the child by their biceps approximately four feet to a cot and put the child down roughly. .1803(a)(1) Violations must be corrected immediately. Within one week, by March 20, 2024, you must submit documentation of the corrections you made and your plan to maintain compliance with the identified child care requirements to me at Allison Davis, Investigations Consultant, allison.davis@dhhs.nc.gov, fax# 919-715-1013, 2201 Mail Service Center, Raleigh, NC 27699-2201. You may contact me at Allison Davis, Investigations Consultant, allison.davis@dhhs.nc.gov, 910-800-0079 or Melissa Loehr, Southeastern Investigations Supervisor, melissa.loehr@dhhs.nc.gov. Thank you for your time. 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 .0601 · Violation

Name of Operation: FUNDAMENTALS CHILD DEVELOPMENT CENTER Facility ID: 96000634 Consultant: TINA JONES Operation Type: Center Case Number: Visit Date: 1/3/2024 Number Present: 73 Completed Date: 1/3/2024 Age: From 0 To 9 Total Minutes: 255 Time In: 09:00 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s annual compliance visit was to monitor compliance with applicable child care requirements. A checklist was used to note the requirements I monitored today. This facility currently operates with a Four Star Child Care Center License that was issued May 19, 2023, earning 7 points in the Education Component, 2 points in the Program Component and 1 Quality point for having a staff benefits package and an infrastructure of parent involvement. The sanitation inspection was completed on March 9, 2023, with a “Superior” classification. The last fire inspection was completed on December 6, 2023, and the facility was approved for day time care only. You, C. Stevens, Administrator, were not available upon arrival; however, you were called and arrived shortly after the visit began. You were notified of the purpose of the visit and was available for consultation at the conclusion of the visit. Prior to today’s visit, the program’s compliance history was 100% over the current 18- month period. A copy of your compliance history report was left with you. The facility is owned by the corporation C And L Child Development Center LLC. The corporation was researched and found to be current and active. The license was posted, and the restrictions were in compliance. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in group time, free play in activity areas with blocks and manipulatives, outside on swings and climbing structures, and personal care routines. Infants were engaged in tummy time, napping, exploring the environment, and feedings. Sleep checks were completed, recorded, and maintained as required. The caregivers were interacting and meeting the developmental needs for each of the children. Activity plans were current, posted, and reflected NC Early Childhood Foundations. Rated license requirements were reviewed to ensure compliance was maintained with current program and education components as well as the quality point. Fire and sanitation inspections remain current. I used the Annual Compliance Monitoring Checklist for Child Care and the Child Care Center Item Number Listing (DCD 0357) as a basic monitoring tool to assess compliance with all applicable child care requirements. Violations documented were reviewed with you at the conclusion of the visit and a copy of the visit summary was provided to you. The following violations were documented: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. On the playground for school age children and preschool age children, steps on the large play structure was rusting and flaking with sharp edges. On the playground for school age children, sharp thorny vegetation was growing through the fence, accessible to children. 10A NCAC 09 .0601(a) 843 A drug or medicine was administered after its expiration date. In space 3, Aquaphor diapering ointment was given to a child after the expiration date of 5/2023. The last date the ointment was administered was October 2023. 10A NCAC 09 .0803(1)(d) CONSULTATION, TECHNICAL ASSISTANE AND RULES REVIEW: Violations documented above must be corrected immediately. A signed and dated letter of compliance must be mailed to me by January 17, 2024, describing how and when the violations were corrected and how compliance will be maintained in the future. This two-week time frame is established to allow you time for submitting your compliance letter and is not intended to be used as a guide for correcting violations, as they should be corrected immediately. The letter of compliance should be mailed or emailed to me, Tina Jones, PO Box 10194, Goldsboro, NC 27532. The compliance letter must be submitted from the email address on file for your program. If you have any questions related to this visit or if I can be of additional assistance, I can be reached at 252-361-3434 or tina.jones@dhhs.nc.gov. You may also contact Susan Fuller, Licensing Supervisor at 252-373-9809. Please be aware that any written information submitted by your regarding correction of violations documented is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. Child care licensing requirements are established to ensure a safe and healthy child care environment. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your type of program. It is your responsibility to maintain compliance with the applicable laws and rules; always whether they have been monitored or specifically discussed with you in the past. The best way for you to ensure that you are meeting all requirements is to periodically review the child care laws and rules on the Division of Child Development and Early Education’s website. SAFE ENVIRONMENT: While completing a walk-through of the outdoor environment, I observed the steps to the large play structures on the playground for preschool age children and school age children. The steps were rusting and flaking with sharp edges. We discussed you contacting the manufacturer to inquire about a warranty for the steps. We discussed options to make this area a safe area for the children to access. On the playground for school age children, there is sharp thorny vegetation growing through the fence, accessible to children. We discussed that this must be cut back or completely removed to make this inaccessible to children. MEDICATION: In space 3, there was medication that was expired. The Aquaphor diapering ointment expired 5/2023. When asked, staff member, L. Favors stated that the last time the medication was given was around October of 2023. We discussed having a staff member to periodically check all medication to ensure the medications have not reached the expiration date. This violation was corrected by having it removed from the classroom. CHALLENGING BEHAVIOR ASSISTANCE: Did you know assistance can be requested for help with handling challenging behaviors. The Healthy Social Behaviors in Child Care Centers Project (HSB) provides ideas to create a learning environment that can assist in preventing challenging behaviors. They provide free technical assistance, professional development, and they offer a variety of additional resources. For additional information on the Healthy Social Behaviors Project or to view a current listing of scheduled trainings, browse the NC Child Care Resource & Referral Council website. For information about Pyramid Model CEU-level trainings, contact the HSB Education Specialist, Liz Tuttle at etuttle@childcareresourcesinc.org. To obtain a Request for TA Services, contact your local Behavior Specialist or email the Statewide Project Manager, Smokie Brawley, at sbrawley@childcareresourcesinc.org. You can also contact the challenging behavior helpline at 1-888- 600-1685 option 2. You can speak to a Behavior Support Advisor or submit questions about specific behaviors in your program. You will also be able to post questions in the “Talk to the Expert” group in the online network. DCDEE RESOURCES: I recommended you periodically visit the DCDEE website at https://ncchildcare.ncdhhs.gov/ under the "What's New" tab to stay abreast of updated information provided. You can also complete training modules located in MOODLE platform. NC CHILDCARE HEALTH & SAFETY RESOURCE CENTER: The NC Childcare Health and Safety Resource Center promotes a safe and healthy indoor and outdoor environment for children in early care and education settings. You can access free downloadable posters or order posters, via postal mail, free of charge. The website is found at https://healthychildcare.unc.edu/. Go to the “Resource” tab and scroll down to “Posters”. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0803 · Violation

Name of Operation: FUNDAMENTALS CHILD DEVELOPMENT CENTER Facility ID: 96000634 Consultant: TINA JONES Operation Type: Center Case Number: Visit Date: 1/3/2024 Number Present: 73 Completed Date: 1/3/2024 Age: From 0 To 9 Total Minutes: 255 Time In: 09:00 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s annual compliance visit was to monitor compliance with applicable child care requirements. A checklist was used to note the requirements I monitored today. This facility currently operates with a Four Star Child Care Center License that was issued May 19, 2023, earning 7 points in the Education Component, 2 points in the Program Component and 1 Quality point for having a staff benefits package and an infrastructure of parent involvement. The sanitation inspection was completed on March 9, 2023, with a “Superior” classification. The last fire inspection was completed on December 6, 2023, and the facility was approved for day time care only. You, C. Stevens, Administrator, were not available upon arrival; however, you were called and arrived shortly after the visit began. You were notified of the purpose of the visit and was available for consultation at the conclusion of the visit. Prior to today’s visit, the program’s compliance history was 100% over the current 18- month period. A copy of your compliance history report was left with you. The facility is owned by the corporation C And L Child Development Center LLC. The corporation was researched and found to be current and active. The license was posted, and the restrictions were in compliance. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in group time, free play in activity areas with blocks and manipulatives, outside on swings and climbing structures, and personal care routines. Infants were engaged in tummy time, napping, exploring the environment, and feedings. Sleep checks were completed, recorded, and maintained as required. The caregivers were interacting and meeting the developmental needs for each of the children. Activity plans were current, posted, and reflected NC Early Childhood Foundations. Rated license requirements were reviewed to ensure compliance was maintained with current program and education components as well as the quality point. Fire and sanitation inspections remain current. I used the Annual Compliance Monitoring Checklist for Child Care and the Child Care Center Item Number Listing (DCD 0357) as a basic monitoring tool to assess compliance with all applicable child care requirements. Violations documented were reviewed with you at the conclusion of the visit and a copy of the visit summary was provided to you. The following violations were documented: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. On the playground for school age children and preschool age children, steps on the large play structure was rusting and flaking with sharp edges. On the playground for school age children, sharp thorny vegetation was growing through the fence, accessible to children. 10A NCAC 09 .0601(a) 843 A drug or medicine was administered after its expiration date. In space 3, Aquaphor diapering ointment was given to a child after the expiration date of 5/2023. The last date the ointment was administered was October 2023. 10A NCAC 09 .0803(1)(d) CONSULTATION, TECHNICAL ASSISTANE AND RULES REVIEW: Violations documented above must be corrected immediately. A signed and dated letter of compliance must be mailed to me by January 17, 2024, describing how and when the violations were corrected and how compliance will be maintained in the future. This two-week time frame is established to allow you time for submitting your compliance letter and is not intended to be used as a guide for correcting violations, as they should be corrected immediately. The letter of compliance should be mailed or emailed to me, Tina Jones, PO Box 10194, Goldsboro, NC 27532. The compliance letter must be submitted from the email address on file for your program. If you have any questions related to this visit or if I can be of additional assistance, I can be reached at 252-361-3434 or tina.jones@dhhs.nc.gov. You may also contact Susan Fuller, Licensing Supervisor at 252-373-9809. Please be aware that any written information submitted by your regarding correction of violations documented is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. Child care licensing requirements are established to ensure a safe and healthy child care environment. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your type of program. It is your responsibility to maintain compliance with the applicable laws and rules; always whether they have been monitored or specifically discussed with you in the past. The best way for you to ensure that you are meeting all requirements is to periodically review the child care laws and rules on the Division of Child Development and Early Education’s website. SAFE ENVIRONMENT: While completing a walk-through of the outdoor environment, I observed the steps to the large play structures on the playground for preschool age children and school age children. The steps were rusting and flaking with sharp edges. We discussed you contacting the manufacturer to inquire about a warranty for the steps. We discussed options to make this area a safe area for the children to access. On the playground for school age children, there is sharp thorny vegetation growing through the fence, accessible to children. We discussed that this must be cut back or completely removed to make this inaccessible to children. MEDICATION: In space 3, there was medication that was expired. The Aquaphor diapering ointment expired 5/2023. When asked, staff member, L. Favors stated that the last time the medication was given was around October of 2023. We discussed having a staff member to periodically check all medication to ensure the medications have not reached the expiration date. This violation was corrected by having it removed from the classroom. CHALLENGING BEHAVIOR ASSISTANCE: Did you know assistance can be requested for help with handling challenging behaviors. The Healthy Social Behaviors in Child Care Centers Project (HSB) provides ideas to create a learning environment that can assist in preventing challenging behaviors. They provide free technical assistance, professional development, and they offer a variety of additional resources. For additional information on the Healthy Social Behaviors Project or to view a current listing of scheduled trainings, browse the NC Child Care Resource & Referral Council website. For information about Pyramid Model CEU-level trainings, contact the HSB Education Specialist, Liz Tuttle at etuttle@childcareresourcesinc.org. To obtain a Request for TA Services, contact your local Behavior Specialist or email the Statewide Project Manager, Smokie Brawley, at sbrawley@childcareresourcesinc.org. You can also contact the challenging behavior helpline at 1-888- 600-1685 option 2. You can speak to a Behavior Support Advisor or submit questions about specific behaviors in your program. You will also be able to post questions in the “Talk to the Expert” group in the online network. DCDEE RESOURCES: I recommended you periodically visit the DCDEE website at https://ncchildcare.ncdhhs.gov/ under the "What's New" tab to stay abreast of updated information provided. You can also complete training modules located in MOODLE platform. NC CHILDCARE HEALTH & SAFETY RESOURCE CENTER: The NC Childcare Health and Safety Resource Center promotes a safe and healthy indoor and outdoor environment for children in early care and education settings. You can access free downloadable posters or order posters, via postal mail, free of charge. The website is found at https://healthychildcare.unc.edu/. Go to the “Resource” tab and scroll down to “Posters”. 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